Displaying 206971-206980 of 1611142 results.
ID:
206971
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
905395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206972
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
198371
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206973
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197889
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206974
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
855172
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
206975
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
242679
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206976
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206977
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
206978
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
206979
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
206980
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
206971206972206973206974206975206976206977206978206979206980