Displaying 200841-200850 of 1611142 results.
ID:
200841
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
310437
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200842
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
579148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200843
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
104894
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200844
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
861132
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
200845
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
310352
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200846
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
310353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200847
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
200257
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
200848
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
200256
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
200849
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
200258
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
1
ID:
200850
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
313582
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
200841200842200843200844200845200846200847200848200849200850