Displaying 208401-208410 of 1611142 results.
ID:
208401
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
860715
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208402
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
860695
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208403
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
860707
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208404
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
309058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208405
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
419849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208406
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208407
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208408
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
724863
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
208409
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
724859
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
208410
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
724861
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
208401208402208403208404208405208406208407208408208409208410