Displaying 195701-195710 of 1611142 results.
ID:
195701
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
828539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195702
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
545835
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195703
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
645884
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195704
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
757968
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
30
ID:
195705
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
754508
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195706
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1013629
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195707
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197411
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195708
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310600
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195709
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
403850
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195710
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
810090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
195701195702195703195704195705195706195707195708195709195710