Displaying 208901-208910 of 1611142 results.
ID:
208901
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2178403
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208902
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2178405
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208903
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2382990
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208904
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2178407
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208905
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2178409
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208906
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2382991
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208907
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2382993
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
208908
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272630
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
208909
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272622
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
208910
Formulary ID:
00021087
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272636
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
208901208902208903208904208905208906208907208908208909208910