Displaying 216101-216110 of 1611142 results.
ID:
216101
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
349590
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216102
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
311286
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216103
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
242754
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216104
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191250
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216105
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
207373
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216106
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1245268
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216107
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
885209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216108
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1922765
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216109
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
1922763
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216110
Formulary ID:
00021094
Formulary Version:
13
Contract Year:
2021
RXCUI:
105553
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
216101216102216103216104216105216106216107216108216109216110