Displaying 228201-228210 of 1611142 results.
ID:
228201
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
836307
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228202
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
731566
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228203
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
731568
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228204
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
731571
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228205
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
966157
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228206
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
966164
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228207
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
966170
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228208
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
966175
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228209
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
966283
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
228210
Formulary ID:
00021098
Formulary Version:
10
Contract Year:
2021
RXCUI:
966184
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
228201228202228203228204228205228206228207228208228209228210