Displaying 205871-205880 of 1611142 results.
ID:
205871
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1098674
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205872
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205873
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923426
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205874
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1923424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205875
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
904589
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205876
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
309043
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205877
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
894859
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205878
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
866042
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205879
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
855288
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205880
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
855302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
205871205872205873205874205875205876205877205878205879205880