Displaying 204211-204220 of 1611142 results.
ID:
204211
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312084
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204212
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198051
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
204213
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204214
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312132
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204215
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204216
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313413
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204217
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
314286
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204218
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313776
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204219
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313777
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204220
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
204211204212204213204214204215204216204217204218204219204220