Displaying 209601-209610 of 1611142 results.
ID:
209601
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1990869
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
209602
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209603
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209604
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209605
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1648999
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209606
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
486515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209607
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
730782
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209608
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1795470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209609
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1794886
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209610
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1795346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
209601209602209603209604209605209606209607209608209609209610