Displaying 195381-195390 of 1611142 results.
ID:
195381
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1040016
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195382
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195383
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195384
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1086780
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195385
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1086786
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195386
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1307415
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195387
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1307421
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195388
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1869699
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195389
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1805427
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195390
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1602588
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
195381195382195383195384195385195386195387195388195389195390