Displaying 197701-197710 of 1611142 results.
ID:
197701
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
977874
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197702
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
977894
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197703
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
977902
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197704
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
977909
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197705
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
977915
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197706
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309952
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197707
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197622
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197708
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309955
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197709
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
197710
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
197701197702197703197704197705197706197707197708197709197710