Displaying 195671-195680 of 1611142 results.
ID:
195671
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
617995
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195672
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195673
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
359296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195674
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
308212
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195675
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
403810
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195676
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
403811
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195677
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1806195
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
195678
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1806179
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195679
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1806183
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195680
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
308191
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
195671195672195673195674195675195676195677195678195679195680