Displaying 193801-193810 of 1611142 results.
ID:
193801
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
409823
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193802
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
849833
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
193803
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
892582
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
193804
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
193805
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193806
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193807
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490038
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193808
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193809
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
859081
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193810
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486691
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
193801193802193803193804193805193806193807193808193809193810