Displaying 195901-195910 of 1611142 results.
ID:
195901
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
902729
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195902
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
902736
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195903
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1306898
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195904
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1091155
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
195905
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1091170
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
195906
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1091185
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195907
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1091210
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
195908
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1995461
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
195909
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1088934
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
195910
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1088936
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
195901195902195903195904195905195906195907195908195909195910