Displaying 196901-196910 of 1611142 results.
ID:
196901
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196902
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196903
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1115012
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196904
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1115013
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
196905
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
884655
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196906
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1426600
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196907
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
748977
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196908
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1091632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196909
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1091629
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196910
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1091635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
196901196902196903196904196905196906196907196908196909196910