Displaying 196401-196410 of 1611142 results.
ID:
196401
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196402
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196403
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196404
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1235049
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196405
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
705129
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196406
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
895487
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196407
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
895987
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196408
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
797274
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196409
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1597120
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
38
Qty Limit Days:
30
ID:
196410
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1597126
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
196401196402196403196404196405196406196407196408196409196410