Displaying 196681-196690 of 1611142 results.
ID:
196681
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196682
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196683
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196684
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196685
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2059017
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196686
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1232084
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196687
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1232088
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196688
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1114202
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196689
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1549683
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
51
Qty Limit Days:
30
ID:
196690
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1650968
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
196681196682196683196684196685196686196687196688196689196690