Displaying 193741-193750 of 1611142 results.
ID:
193741
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1011736
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193742
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1011739
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193743
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193744
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193745
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193746
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
896184
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
193747
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
896209
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
193748
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
896228
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
193749
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
861237
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193750
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
861221
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
193741193742193743193744193745193746193747193748193749193750