Displaying 195681-195690 of 1611142 results.
ID:
195681
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
899461
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195682
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
899485
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195683
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1101926
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195684
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
899495
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195685
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1101932
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195686
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199119
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195687
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
864110
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195688
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
854302
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195689
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1793916
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
195690
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1657173
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
195681195682195683195684195685195686195687195688195689195690