Displaying 195401-195410 of 1611142 results.
ID:
195401
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
833149
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195402
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
833146
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195403
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
195404
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195405
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195406
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195407
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195408
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1606490
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195409
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
859983
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195410
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
859979
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
195401195402195403195404195405195406195407195408195409195410