Displaying 196921-196930 of 1611142 results.
ID:
196921
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196922
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196923
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196924
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1495316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196925
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1998631
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196926
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2179635
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196927
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
430902
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196928
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196929
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
196930
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1870950
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
196921196922196923196924196925196926196927196928196929196930