Displaying 195611-195620 of 1611142 results.
ID:
195611
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1592748
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195612
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1592752
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195613
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1545664
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195614
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1545668
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195615
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1651275
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
195616
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1664321
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195617
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1667882
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
195618
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1602120
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195619
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1665369
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195620
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1664328
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
195611195612195613195614195615195616195617195618195619195620