Displaying 213771-213780 of 1611142 results.
ID:
213771
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
859044
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213772
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
859048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213773
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
317110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213774
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
402698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213775
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
402696
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213776
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
402695
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213777
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
351249
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
213778
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
858625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213779
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
855182
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213780
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
855189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
213771213772213773213774213775213776213777213778213779213780