Displaying 195031-195040 of 1611142 results.
ID:
195031
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1539762
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195032
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
991233
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195033
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
993552
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195034
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
993569
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195035
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
993683
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195036
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1098608
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195037
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
308047
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195038
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
308048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195039
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197321
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195040
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
195031195032195033195034195035195036195037195038195039195040