Displaying 209701-209710 of 1611142 results.
ID:
209701
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
360344
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209702
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209703
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
606726
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
209704
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
606730
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209705
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198324
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209706
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209707
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198323
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209708
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
855942
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209709
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
618552
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209710
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
313366
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
209701209702209703209704209705209706209707209708209709209710