Displaying 204801-204810 of 1611142 results.
ID:
204801
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1790890
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204802
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2384465
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
204803
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1670324
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204804
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1670322
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204805
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1600774
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204806
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1600776
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204807
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1600915
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204808
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1600917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204809
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309952
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204810
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197622
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
204801204802204803204804204805204806204807204808204809204810