Displaying 195871-195880 of 1611142 results.
ID:
195871
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309314
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195872
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
859044
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195873
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
859048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195874
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
317110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195875
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
402698
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195876
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
402696
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195877
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
402695
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195878
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
351249
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195879
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
858625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195880
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
855182
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
195871195872195873195874195875195876195877195878195879195880