Displaying 196051-196060 of 1611142 results.
ID:
196051
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309044
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196052
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313888
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196053
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309042
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196054
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196055
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1012021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196056
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
849506
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196057
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1797863
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
196058
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
213262
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196059
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
545259
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196060
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1099503
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
196051196052196053196054196055196056196057196058196059196060