Displaying 208691-208700 of 1611142 results.
ID:
208691
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
897853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208692
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
859033
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208693
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
859040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208694
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
859052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208695
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
855642
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
208696
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
312504
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208697
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
313291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208698
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1245919
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208699
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1242786
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208700
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
200329
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
208691208692208693208694208695208696208697208698208699208700