Displaying 195811-195820 of 1611142 results.
ID:
195811
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195812
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195813
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
966920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195814
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
801054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195815
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2262731
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195816
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2262713
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195817
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2262719
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195818
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2262727
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195819
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
206548
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195820
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1299203
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
195811195812195813195814195815195816195817195818195819195820