Displaying 196021-196030 of 1611142 results.
ID:
196021
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
314184
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196022
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
311918
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
196023
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
314135
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
196024
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310537
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196025
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
897722
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196026
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197942
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196027
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197941
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196028
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861007
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196029
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861010
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196030
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861004
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
196021196022196023196024196025196026196027196028196029196030