Displaying 196971-196980 of 1611142 results.
ID:
196971
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312084
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196972
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198051
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
196973
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196974
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312132
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196975
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196976
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313413
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196977
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
314286
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196978
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313776
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196979
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313777
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
196980
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313778
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
196971196972196973196974196975196976196977196978196979196980