Displaying 194091-194100 of 1611142 results.
ID:
194091
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373008
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194092
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
310003
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194093
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
310004
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194094
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
310005
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194095
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194096
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197682
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194097
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
866910
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194098
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
308867
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194099
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198037
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194100
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1092357
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
194091194092194093194094194095194096194097194098194099194100