Displaying 196751-196760 of 1611142 results.
ID:
196751
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1812470
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
196752
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1655934
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
196753
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2053512
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
196754
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
904447
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
28
ID:
196755
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
762394
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196756
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196757
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196758
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861448
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196759
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309370
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196760
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
315059
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
196751196752196753196754196755196756196757196758196759196760