Displaying 207501-207510 of 1611142 results.
ID:
207501
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
207502
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207503
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
85
Qty Limit Days:
28
ID:
207504
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207505
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
308715
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
207506
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207507
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207508
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
848178
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207509
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
861505
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
118
Qty Limit Days:
28
ID:
207510
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
312139
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
207501207502207503207504207505207506207507207508207509207510