Displaying 193401-193410 of 1611142 results.
ID:
193401
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
897596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193402
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
199055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193403
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
317769
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193404
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
314208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193405
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
312847
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193406
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
205284
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193407
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
205285
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193408
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
193409
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
193410
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
866482
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
193401193402193403193404193405193406193407193408193409193410