Displaying 194701-194710 of 1611142 results.
ID:
194701
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2002719
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
194702
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2058981
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194703
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2123314
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194704
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2121096
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194705
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2121100
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194706
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2390954
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194707
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1298099
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194708
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
545293
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194709
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
207029
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194710
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
746804
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
194701194702194703194704194705194706194707194708194709194710