Displaying 196001-196010 of 1611142 results.
ID:
196001
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
308345
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196002
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197636
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196003
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
260243
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196004
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312641
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196005
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1312625
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196006
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1437280
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
196007
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1436245
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
196008
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1437285
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
196009
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1437290
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
196010
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1237055
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
196001196002196003196004196005196006196007196008196009196010