Displaying 209671-209680 of 1611142 results.
ID:
209671
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
856422
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209672
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
199903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209673
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
998671
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
209674
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
209675
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
209676
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000048
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209677
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
876524
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209678
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
876514
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209679
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
876529
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209680
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
876519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
209671209672209673209674209675209676209677209678209679209680