Displaying 194811-194820 of 1611142 results.
ID:
194811
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194812
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
429212
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194813
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309374
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194814
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1299917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194815
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
995218
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194816
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1299896
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194817
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
866090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194818
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
643066
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194819
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1652084
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194820
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1006801
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
194811194812194813194814194815194816194817194818194819194820