Displaying 210021-210030 of 1611142 results.
ID:
210021
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
763183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210022
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
861424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210023
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1047040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210024
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1047041
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210025
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1727569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210026
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1993222
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210027
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
430551
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210028
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
403920
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210029
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
312068
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210030
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
314152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
210021210022210023210024210025210026210027210028210029210030