Displaying 196031-196040 of 1611142 results.
ID:
196031
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196032
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
562524
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196033
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1652673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196034
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1649429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196035
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1650142
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196036
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1650444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196037
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
406524
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196038
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
434018
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196039
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
799048
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196040
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
353538
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
196031196032196033196034196035196036196037196038196039196040