Displaying 195421-195430 of 1611142 results.
ID:
195421
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2052704
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195422
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2105817
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
195423
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1300797
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195424
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1300803
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195425
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
967388
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195426
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861385
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195427
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861381
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195428
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
307730
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195429
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
106302
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195430
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
884308
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
195421195422195423195424195425195426195427195428195429195430