Displaying 218681-218690 of 1611142 results.
ID:
218681
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
200031
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218682
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
200033
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218683
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
315223
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
218684
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313161
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
218685
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
313160
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
218686
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310796
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218687
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218688
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
310809
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218689
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
198052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
218690
Formulary ID:
00021095
Formulary Version:
13
Contract Year:
2021
RXCUI:
312086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
218681218682218683218684218685218686218687218688218689218690