Displaying 195281-195290 of 1611142 results.
ID:
195281
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
748878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195282
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
404058
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195283
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
404061
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195284
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
404064
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195285
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1918042
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195286
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1111641
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195287
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1487361
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
195288
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
351137
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195289
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
351136
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195290
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1855389
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
195281195282195283195284195285195286195287195288195289195290