Displaying 212691-212700 of 1611142 results.
ID:
212691
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2047602
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212692
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2047608
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212693
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2047614
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212694
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2047596
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212695
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2047623
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212696
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2463737
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212697
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2463733
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212698
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
212699
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212700
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
212691212692212693212694212695212696212697212698212699212700