Displaying 205901-205910 of 1611142 results.
ID:
205901
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
757707
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
205902
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
403957
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
205903
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
636664
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205904
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205905
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205906
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
861960
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
205907
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
905032
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
205908
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1090996
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205909
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197595
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
205910
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
205901205902205903205904205905205906205907205908205909205910