Displaying 197051-197060 of 1611142 results.
ID:
197051
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1649495
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
197052
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2168596
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197053
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2045638
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
197054
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2120195
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
197055
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2123191
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
197056
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1648162
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197057
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1648160
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197058
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2048718
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197059
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2048722
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197060
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1991509
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
197051197052197053197054197055197056197057197058197059197060