Displaying 208111-208120 of 1611142 results.
ID:
208111
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208112
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208113
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
208114
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
208115
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
283316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208116
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
283317
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208117
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
477130
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208118
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
849389
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208119
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
313407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208120
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
313408
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
208111208112208113208114208115208116208117208118208119208120