Displaying 212361-212370 of 1611142 results.
ID:
212361
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2382991
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212362
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2382993
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212363
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272630
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
212364
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272622
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
212365
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272636
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
212366
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272624
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
212367
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
966153
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212368
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
966160
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212369
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
966166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212370
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
966173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
212361212362212363212364212365212366212367212368212369212370