Displaying 197001-197010 of 1611142 results.
ID:
197001
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
206917
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197002
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1657151
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
197003
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
994008
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
197004
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
900156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197005
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
848582
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
197006
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
824959
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
197007
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
749206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197008
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1659592
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197009
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1659598
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197010
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
240984
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
197001197002197003197004197005197006197007197008197009197010