Displaying 203101-203110 of 1611142 results.
ID:
203101
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197900
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
203102
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
203103
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197902
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
203104
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311386
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203105
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
311385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203106
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
314075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203107
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310812
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203108
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203109
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197653
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
203110
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
991086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
203101203102203103203104203105203106203107203108203109203110