Displaying 212811-212820 of 1611142 results.
ID:
212811
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
866083
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212812
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
211817
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212813
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801283
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
212814
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
978006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212815
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
833217
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212816
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
831103
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212817
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
831102
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212818
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
831054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212819
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197724
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212820
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197381
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
212811212812212813212814212815212816212817212818212819212820