Displaying 197021-197030 of 1611142 results.
ID:
197021
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
207949
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197022
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2286281
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
197023
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2286290
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
197024
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2286285
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
197025
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2396905
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197026
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
352044
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197027
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
352045
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197028
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
352046
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197029
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
352047
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197030
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1654955
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
197021197022197023197024197025197026197027197028197029197030