Displaying 194301-194310 of 1611142 results.
ID:
194301
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
213282
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194302
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
213283
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194303
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
213284
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194304
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
859865
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194305
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
616447
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194306
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
616435
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194307
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
352297
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194308
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
731328
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
194309
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
404460
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194310
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1593140
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
194301194302194303194304194305194306194307194308194309194310