Displaying 194821-194830 of 1611142 results.
ID:
194821
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
996921
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194822
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
721773
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194823
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
476179
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194824
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
476177
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194825
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199703
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194826
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
485440
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194827
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
899511
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
194828
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
899439
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
194829
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1006608
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
194830
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1860157
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
194821194822194823194824194825194826194827194828194829194830