Displaying 218031-218040 of 1611142 results.
ID:
218031
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218032
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218033
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
96304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218034
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
998689
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218035
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
998685
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218036
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
206791
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218037
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
580286
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218038
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597570
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218039
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1864414
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
218040
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1431083
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
218031218032218033218034218035218036218037218038218039218040