Displaying 206241-206250 of 1611142 results.
ID:
206241
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
763574
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206242
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
763589
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206243
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
618557
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206244
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
311984
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206245
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
311985
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206246
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
360344
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206247
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206248
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
606726
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
206249
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
606730
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206250
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
198324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
206241206242206243206244206245206246206247206248206249206250