Displaying 194911-194920 of 1611142 results.
ID:
194911
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
194912
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
194913
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
809994
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
194914
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
809998
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
194915
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194916
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194917
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
317173
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194918
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
308964
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194919
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197604
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194920
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197606
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
194911194912194913194914194915194916194917194918194919194920