Displaying 194461-194470 of 1611142 results.
ID:
194461
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
351267
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194462
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
905172
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194463
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
905168
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194464
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
892589
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194465
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
894780
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194466
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
997170
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194467
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
997287
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194468
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
997296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194469
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
194470
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
194461194462194463194464194465194466194467194468194469194470