Displaying 195301-195310 of 1611142 results.
ID:
195301
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
759743
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195302
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1095224
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195303
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
748806
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195304
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
748804
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195305
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1607990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195306
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1373503
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195307
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310404
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195308
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310405
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195309
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
103467
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195310
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
284191
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
195301195302195303195304195305195306195307195308195309195310