Displaying 194391-194400 of 1611142 results.
ID:
194391
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
205826
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194392
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1011987
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194393
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856935
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194394
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1009341
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
7
Qty Limit Days:
25
ID:
194395
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
864820
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194396
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
486155
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
194397
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310173
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
194398
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1149645
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
194399
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310180
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
194400
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1190955
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
194391194392194393194394194395194396194397194398194399194400