Displaying 211041-211050 of 1611142 results.
ID:
211041
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1014673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211042
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
199450
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
211043
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
246172
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
211044
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
211045
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211046
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211047
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211048
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
844590
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211049
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
844813
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211050
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
844591
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
211041211042211043211044211045211046211047211048211049211050