Displaying 214081-214090 of 1611142 results.
ID:
214081
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214082
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214083
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
829500
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214084
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
861025
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
765
Qty Limit Days:
30
ID:
214085
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
825005
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214086
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
881341
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214087
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
199690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214088
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
984105
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214089
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197417
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214090
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197418
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
214081214082214083214084214085214086214087214088214089214090