Displaying 195721-195730 of 1611142 results.
ID:
195721
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
745302
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195722
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
314227
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
195723
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195724
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
244374
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195725
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
195726
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195727
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
195728
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
195729
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
241946
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
195730
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
388525
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
195721195722195723195724195725195726195727195728195729195730