Displaying 197041-197050 of 1611142 results.
ID:
197041
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
205917
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197042
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1492746
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
197043
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
205923
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197044
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
205921
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197045
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
205912
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197046
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1605455
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
197047
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
212218
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197048
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
993456
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197049
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1046402
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197050
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1649491
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
197041197042197043197044197045197046197047197048197049197050