Displaying 201761-201770 of 1611142 results.
ID:
201761
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
855474
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
201762
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
198373
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
201763
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1094543
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201764
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
897853
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201765
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
859033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201766
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
859040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201767
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
859052
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201768
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
855642
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
200
Qty Limit Days:
30
ID:
201769
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
312504
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201770
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
313291
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
201761201762201763201764201765201766201767201768201769201770