Displaying 218601-218610 of 1611142 results.
ID:
218601
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1600776
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218602
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1600915
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218603
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1600917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218604
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
1737789
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218605
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
977923
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
218606
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
977929
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
218607
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
977874
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
218608
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
977894
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
218609
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
977902
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
218610
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
977909
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
218601218602218603218604218605218606218607218608218609218610