Displaying 281-290 of 1611142 results.
ID:
281
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
282
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
283
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2166143
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
284
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2196900
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
285
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873087
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
286
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940709
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
287
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597388
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
288
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
835896
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
289
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
835835
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
290
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115468
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
281282283284285286287288289290