Displaying 195101-195110 of 1611142 results.
ID:
195101
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
800812
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195102
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1189640
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195103
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
800933
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195104
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
207273
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195105
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
901401
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195106
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1191267
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195107
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1663747
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195108
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
905387
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195109
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2001321
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
195110
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1091843
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
195101195102195103195104195105195106195107195108195109195110