Displaying 212821-212830 of 1611142 results.
ID:
212821
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197379
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212822
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197603
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212823
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198107
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212824
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
904458
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
212825
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197380
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212826
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198045
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212827
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
317136
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212828
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212829
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198047
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212830
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
312059
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
212821212822212823212824212825212826212827212828212829212830