Displaying 197551-197560 of 1611142 results.
ID:
197551
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
104884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197552
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197553
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197939
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197554
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197940
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197555
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
886662
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197556
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
886666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197557
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
886671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197558
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
616853
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197559
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
616852
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197560
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1190572
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
197551197552197553197554197555197556197557197558197559197560