Displaying 195311-195320 of 1611142 results.
ID:
195311
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000091
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
195312
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000093
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195313
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
359697
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195314
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195315
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
209789
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195316
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
209788
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195317
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195318
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195319
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195320
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
195311195312195313195314195315195316195317195318195319195320