Displaying 209751-209760 of 1611142 results.
ID:
209751
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
603203
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
209752
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
603206
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
209753
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
748961
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209754
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
751901
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209755
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
810096
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209756
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
749761
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209757
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
748868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209758
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
759743
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209759
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
748806
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209760
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
209751209752209753209754209755209756209757209758209759209760