Displaying 193711-193720 of 1611142 results.
ID:
193711
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
309058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193712
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
419849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193713
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193714
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
724863
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
193715
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
724859
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193716
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
724861
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193717
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
403818
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193718
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
730869
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193719
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
897021
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
193720
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
861375
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
193711193712193713193714193715193716193717193718193719193720