Displaying 220791-220800 of 1611142 results.
ID:
220791
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
835564
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220792
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
835568
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220793
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
197739
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220794
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220795
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
998189
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
220796
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
896758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220797
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
896762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220798
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
845515
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
220799
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1119400
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
220800
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
861164
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
220791220792220793220794220795220796220797220798220799220800