Displaying 192101-192110 of 1611142 results.
ID:
192101
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197593
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192102
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
199168
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192103
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
312357
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192104
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
312362
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192105
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2106334
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192106
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809580
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192107
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
854876
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192108
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
283672
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192109
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
200371
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192110
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
309314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
192101192102192103192104192105192106192107192108192109192110