Displaying 197361-197370 of 1611142 results.
ID:
197361
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
577208
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
197362
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
205328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197363
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
314155
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197364
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
351107
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197365
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
859193
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197366
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
686379
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
197367
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
855818
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197368
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197369
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
849827
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197370
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
197361197362197363197364197365197366197367197368197369197370