Displaying 196571-196580 of 1611142 results.
ID:
196571
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1801279
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196572
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
207362
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196573
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
403840
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196574
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
207364
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196575
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1146690
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196576
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
577776
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196577
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1486687
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196578
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196579
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196580
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1653217
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
196571196572196573196574196575196576196577196578196579196580