Displaying 195001-195010 of 1611142 results.
ID:
195001
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
898378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195002
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
898372
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195003
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
995278
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195004
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
995253
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195005
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198228
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195006
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
852913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195007
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
993536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195008
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
852877
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195009
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195010
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
195001195002195003195004195005195006195007195008195009195010