Displaying 196931-196940 of 1611142 results.
ID:
196931
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1870956
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
196932
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1870952
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196933
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1870960
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196934
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1870968
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196935
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1304985
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
196936
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1811182
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
196937
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1101339
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
196938
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1482821
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
196939
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1649405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196940
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
852920
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
196931196932196933196934196935196936196937196938196939196940