Displaying 212511-212520 of 1611142 results.
ID:
212511
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658106
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212512
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658102
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212513
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
798451
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212514
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
830263
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212515
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658150
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212516
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212517
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2475856
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
212518
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2475860
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
212519
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2475852
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
212520
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992816
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
212511212512212513212514212515212516212517212518212519212520