Displaying 210671-210680 of 1611142 results.
ID:
210671
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
544452
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210672
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
597768
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210673
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
597770
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210674
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
597772
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210675
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
403975
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210676
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
259306
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210677
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1799654
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210678
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
105292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210679
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
199592
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
210680
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
483090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
210671210672210673210674210675210676210677210678210679210680