Displaying 203901-203910 of 1611142 results.
ID:
203901
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
858733
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203902
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
848943
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203903
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1801279
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203904
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
207362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203905
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
403840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203906
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
207364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203907
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
577776
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203908
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1486687
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203909
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
203910
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
203901203902203903203904203905203906203907203908203909203910