Displaying 200871-200880 of 1611142 results.
ID:
200871
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200872
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200873
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
200874
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
200875
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
200876
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1100075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200877
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2000019
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200878
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1994362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200879
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1442992
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200880
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2000023
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
200871200872200873200874200875200876200877200878200879200880