Displaying 196071-196080 of 1611142 results.
ID:
196071
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
314165
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196072
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
226343
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196073
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
308493
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196074
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1116150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196075
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310594
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196076
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
754512
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196077
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
905379
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
196078
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
750839
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196079
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
686405
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196080
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1593731
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
196071196072196073196074196075196076196077196078196079196080