Displaying 207001-207010 of 1611142 results.
ID:
207001
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
200034
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
207002
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
312078
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
207003
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
314154
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
207004
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
283639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
207005
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
200284
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207006
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
312076
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
207007
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
207008
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207009
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
905041
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
207010
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
905092
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
207001207002207003207004207005207006207007207008207009207010