Displaying 194621-194630 of 1611142 results.
ID:
194621
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
825170
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
194622
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1801278
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
194623
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
966158
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194624
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
966247
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194625
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
966171
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194626
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
966282
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194627
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
966250
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194628
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
847741
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194629
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
966191
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194630
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
966201
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
194621194622194623194624194625194626194627194628194629194630