Displaying 196701-196710 of 1611142 results.
ID:
196701
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1739778
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196702
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1739782
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196703
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
795085
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
196704
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
849599
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
196705
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1739770
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196706
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1251914
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196707
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
722256
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196708
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1251918
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196709
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
724142
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196710
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
724156
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
196701196702196703196704196705196706196707196708196709196710