Displaying 196771-196780 of 1611142 results.
ID:
196771
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1992281
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196772
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196773
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196774
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196775
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196776
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
308715
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196777
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
848208
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196778
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
848176
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196779
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
848178
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196780
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861505
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
196771196772196773196774196775196776196777196778196779196780