Displaying 197151-197160 of 1611142 results.
ID:
197151
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
261105
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
197152
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1310531
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197153
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1310535
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197154
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1547231
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
197155
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2110618
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
30
ID:
197156
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
197157
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197158
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
903841
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197159
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
208094
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197160
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
197151197152197153197154197155197156197157197158197159197160