Displaying 215271-215280 of 1611142 results.
ID:
215271
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215272
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
855873
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215273
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2360548
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215274
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
308989
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215275
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
308988
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215276
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
197443
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215277
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099678
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215278
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1099870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215279
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1356563
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
215280
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1356572
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
215271215272215273215274215275215276215277215278215279215280