Displaying 209801-209810 of 1611142 results.
ID:
209801
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209802
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1724338
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
209803
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658637
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209804
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
307718
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209805
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
307719
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209806
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
831430
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209807
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1807516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209808
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665210
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209809
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
209810
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659294
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
209801209802209803209804209805209806209807209808209809209810