Displaying 17191-17200 of 1611142 results.
ID:
17191
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806187
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17192
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806189
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17193
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806191
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17194
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806193
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
17195
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
905369
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
17196
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17197
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17198
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
17199
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
349197
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
17200
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
905516
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
17191171921719317194171951719617197171981719917200