Displaying 194801-194810 of 1611142 results.
ID:
194801
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1918194
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
194802
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1918203
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
194803
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
904870
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194804
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
904876
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194805
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1314763
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194806
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309047
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194807
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312594
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194808
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194809
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
834046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194810
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
834040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
194801194802194803194804194805194806194807194808194809194810