Displaying 194051-194060 of 1611142 results.
ID:
194051
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
199889
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194052
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
311486
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194053
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
904396
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
30
ID:
194054
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
199672
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194055
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
252559
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194056
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
239238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194057
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
602393
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194058
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
432402
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
194059
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
477560
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194060
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
477562
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
194051194052194053194054194055194056194057194058194059194060