Displaying 197621-197630 of 1611142 results.
ID:
197621
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
790264
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197622
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
483427
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197623
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
483425
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197624
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309140
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197625
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197626
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
284215
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197627
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1658221
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197628
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
544840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197629
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313165
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
197630
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
865129
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
197621197622197623197624197625197626197627197628197629197630