Displaying 196081-196090 of 1611142 results.
ID:
196081
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1293504
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
30
ID:
196082
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197718
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196083
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
669081
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196084
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197719
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196085
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196086
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
862006
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196087
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
862013
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196088
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
862019
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196089
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
862025
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196090
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
201388
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
196081196082196083196084196085196086196087196088196089196090