Displaying 211051-211060 of 1611142 results.
ID:
211051
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
844829
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211052
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211053
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211054
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
748977
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211055
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211056
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091629
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211057
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211058
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091638
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211059
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211060
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
211051211052211053211054211055211056211057211058211059211060