Displaying 208861-208870 of 1611142 results.
ID:
208861
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011715
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208862
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011752
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208863
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
1011755
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208864
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
313362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208865
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208866
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208867
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208868
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208869
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
903843
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208870
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049884
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
208861208862208863208864208865208866208867208868208869208870