Displaying 202441-202450 of 1611142 results.
ID:
202441
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
285018
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202442
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
855178
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202443
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
866094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202444
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
866083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202445
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
211817
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202446
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1801283
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
202447
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
978006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202448
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
834022
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202449
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
833217
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202450
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
831103
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
202441202442202443202444202445202446202447202448202449202450