Displaying 216071-216080 of 1611142 results.
ID:
216071
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966202
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216072
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
966207
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216073
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2282414
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216074
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283236
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216075
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665906
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
216076
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665900
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
216077
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1801322
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
216078
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2262446
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216079
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2123034
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216080
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
2274390
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
216071216072216073216074216075216076216077216078216079216080