Displaying 196631-196640 of 1611142 results.
ID:
196631
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1242998
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196632
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2106075
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196633
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2390946
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
12
ID:
196634
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2058950
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196635
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2058946
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196636
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1722376
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
63
Qty Limit Days:
28
ID:
196637
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2100099
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
196638
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2100100
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
196639
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2055989
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
365
ID:
196640
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312614
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
196631196632196633196634196635196636196637196638196639196640