Displaying 197521-197530 of 1611142 results.
ID:
197521
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
205285
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197522
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197523
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197524
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
866482
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197525
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
866479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197526
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197527
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197528
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
197529
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
197530
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
197521197522197523197524197525197526197527197528197529197530