Displaying 207891-207900 of 1611142 results.
ID:
207891
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
310261
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207892
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
861416
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207893
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
308459
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207894
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
141963
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207895
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
309332
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
207896
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197519
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
207897
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000126
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207898
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000153
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207899
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
198232
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
207900
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
311727
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
207891207892207893207894207895207896207897207898207899207900