Displaying 209301-209310 of 1611142 results.
ID:
209301
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
866083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209302
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
211817
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209303
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801283
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
209304
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
978006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209305
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
833217
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209306
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
831103
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209307
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
831102
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209308
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
831054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209309
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197724
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209310
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197381
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
209301209302209303209304209305209306209307209308209309209310