Displaying 861-870 of 1611142 results.
ID:
861
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
311683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
862
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
863
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040012
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
864
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040016
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
865
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
866
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
867
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086780
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
868
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086786
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
869
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307415
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
870
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307421
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
861862863864865866867868869870