Displaying 195801-195810 of 1611142 results.
ID:
195801
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195802
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1946529
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195803
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1946527
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195804
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1946525
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195805
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
901550
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195806
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
901555
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195807
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
996097
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195808
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1114485
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195809
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195810
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
195801195802195803195804195805195806195807195808195809195810