Displaying 215101-215110 of 1611142 results.
ID:
215101
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
731566
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215102
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
731568
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215103
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
731571
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215104
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966157
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215105
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966164
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215106
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966170
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215107
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966175
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215108
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966283
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215109
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966184
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215110
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966190
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
215101215102215103215104215105215106215107215108215109215110