Displaying 213981-213990 of 1611142 results.
ID:
213981
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373016
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213982
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
855858
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213983
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
313306
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213984
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
884522
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213985
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
856980
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
390
Qty Limit Days:
30
ID:
213986
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
348472
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213987
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
282401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213988
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213989
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
213990
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
198429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
213981213982213983213984213985213986213987213988213989213990