Displaying 214131-214140 of 1611142 results.
ID:
214131
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091389
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214132
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214133
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214134
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
608623
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214135
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
608624
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214136
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197702
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214137
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049615
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
214138
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1736047
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214139
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1736050
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
214140
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1736053
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
214131214132214133214134214135214136214137214138214139214140