Displaying 197501-197510 of 1611142 results.
ID:
197501
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
831349
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197502
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1801298
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197503
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1801294
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197504
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1044591
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197505
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
311192
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197506
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
311197
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197507
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
311196
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197508
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
854868
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
197509
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2001564
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
197510
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1738803
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
197501197502197503197504197505197506197507197508197509197510