Displaying 196541-196550 of 1611142 results.
ID:
196541
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1119400
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196542
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199369
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196543
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861164
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196544
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861171
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196545
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
645037
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196546
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000064
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196547
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
577154
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196548
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198140
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196549
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
403969
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196550
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
403972
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
196541196542196543196544196545196546196547196548196549196550