Displaying 197561-197570 of 1611142 results.
ID:
197561
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
686418
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197562
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
476345
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197563
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
476349
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197564
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
476350
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197565
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
476351
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197566
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
835829
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197567
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
763306
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197568
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
860975
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197569
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
860981
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197570
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312136
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
197561197562197563197564197565197566197567197568197569197570