Displaying 193861-193870 of 1611142 results.
ID:
193861
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
853201
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193862
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193863
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193864
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
180
ID:
193865
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
180
ID:
193866
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
833709
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193867
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
833711
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193868
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
833713
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193869
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193870
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
193861193862193863193864193865193866193867193868193869193870