Displaying 196741-196750 of 1611142 results.
ID:
196741
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2361300
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
196742
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2361296
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
196743
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2174390
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
196744
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1243052
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196745
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1606866
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196746
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2257013
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196747
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1606870
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196748
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2053519
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
196749
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2166401
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196750
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1999389
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
196741196742196743196744196745196746196747196748196749196750