Displaying 197731-197740 of 1611142 results.
ID:
197731
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
351254
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197732
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
857336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197733
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
857321
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197734
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
857328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197735
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
857340
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197736
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
259081
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
197737
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
835603
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197738
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
283536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197739
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199387
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197740
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312085
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
197731197732197733197734197735197736197737197738197739197740