Displaying 207881-207890 of 1611142 results.
ID:
207881
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1020065
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
207882
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1048445
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207883
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
855194
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207884
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1607617
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
207885
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
311345
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207886
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
198200
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207887
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
349514
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207888
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
351256
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207889
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
351257
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207890
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307427
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
30
207881207882207883207884207885207886207887207888207889207890