Displaying 195601-195610 of 1611142 results.
ID:
195601
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195602
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
603378
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195603
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1190225
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
195604
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
580261
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195605
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
30
ID:
195606
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1552004
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
195607
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1723478
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195608
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1430453
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195609
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1430457
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195610
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1430449
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
195601195602195603195604195605195606195607195608195609195610