Displaying 209401-209410 of 1611142 results.
ID:
209401
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
904467
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
209402
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
904475
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
209403
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1490065
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209404
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
199058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209405
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
596843
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
209406
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
308868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209407
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
403879
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
209408
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
476556
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209409
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
197535
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209410
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
310295
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
209401209402209403209404209405209406209407209408209409209410