Displaying 195011-195020 of 1611142 results.
ID:
195011
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1246306
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
11
Qty Limit Days:
30
ID:
195012
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1246290
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
11
Qty Limit Days:
30
ID:
195013
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195014
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195015
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1872261
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
195016
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2055008
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195017
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
859192
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195018
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2166094
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
200
Qty Limit Days:
28
ID:
195019
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
801962
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195020
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
801965
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
195011195012195013195014195015195016195017195018195019195020