Displaying 210371-210380 of 1611142 results.
ID:
210371
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1293504
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210372
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
669081
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210373
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210374
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
201388
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210375
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665102
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210376
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1737578
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210377
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659283
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210378
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659287
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210379
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
242800
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210380
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
312127
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
210371210372210373210374210375210376210377210378210379210380