Displaying 197471-197480 of 1611142 results.
ID:
197471
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1744011
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197472
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
901614
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197473
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1147337
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197474
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1306298
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197475
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1551999
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197476
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1484922
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197477
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2203999
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197478
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2204092
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197479
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1544471
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
197480
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1544475
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
197471197472197473197474197475197476197477197478197479197480