Displaying 196871-196880 of 1611142 results.
ID:
196871
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
993943
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196872
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
994239
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196873
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196874
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1012904
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196875
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
196876
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
196877
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1359127
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196878
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1359124
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196879
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
403884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196880
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
310599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
196871196872196873196874196875196876196877196878196879196880