Displaying 194401-194410 of 1611142 results.
ID:
194401
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1190957
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194402
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1595462
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194403
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1595473
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194404
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1595478
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194405
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1595292
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194406
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1995479
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194407
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1595457
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194408
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
351750
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194409
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
897294
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194410
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
402092
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
194401194402194403194404194405194406194407194408194409194410