Displaying 196101-196110 of 1611142 results.
ID:
196101
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
200193
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
196102
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
200194
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
196103
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
284205
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
196104
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
317094
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
196105
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349435
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196106
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196107
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1013930
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
196108
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310289
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196109
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1946698
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196110
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
855858
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
196101196102196103196104196105196106196107196108196109196110