Displaying 204881-204890 of 1611142 results.
ID:
204881
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313850
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204882
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
313222
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
365
ID:
204883
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861743
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
204884
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861748
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
204885
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861753
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
204886
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309076
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204887
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204888
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198352
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204889
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
200031
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
204890
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
200033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
204881204882204883204884204885204886204887204888204889204890