Displaying 196821-196830 of 1611142 results.
ID:
196821
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
389242
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196822
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1246673
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196823
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
204119
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196824
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
728126
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196825
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1741905
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196826
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2287905
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
196827
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2056700
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
196828
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1359020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196829
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1358775
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196830
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
751884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
196821196822196823196824196825196826196827196828196829196830