Displaying 216901-216910 of 1611142 results.
ID:
216901
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659292
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216902
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1659294
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216903
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
206423
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216904
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1668267
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216905
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
239209
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216906
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1807518
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216907
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1860139
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216908
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
800192
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216909
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665021
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
216910
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
309090
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
216901216902216903216904216905216906216907216908216909216910