Displaying 194971-194980 of 1611142 results.
ID:
194971
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
896019
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
194972
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
896027
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
194973
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
896023
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
194974
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
213484
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194975
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
759473
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
194976
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
895996
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
194977
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
896001
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
194978
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
896006
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
194979
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1539893
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
194980
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
261241
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
194971194972194973194974194975194976194977194978194979194980