Displaying 197101-197110 of 1611142 results.
ID:
197101
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
999967
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197102
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
999996
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197103
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
999986
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197104
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1000001
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197105
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
999991
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197106
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197107
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197108
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197109
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1998475
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197110
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1923326
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
197101197102197103197104197105197106197107197108197109197110