Displaying 193871-193880 of 1611142 results.
ID:
193871
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
309054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193872
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
848140
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193873
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
848131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193874
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
848145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193875
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
848151
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193876
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
848135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193877
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
854894
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193878
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
854880
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
193879
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
193880
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
477347
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
193871193872193873193874193875193876193877193878193879193880