Displaying 197741-197750 of 1611142 results.
ID:
197741
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
308429
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197742
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197743
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197745
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197744
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197746
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197745
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198358
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197746
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1099569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197747
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1244214
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197748
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197312
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197749
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
485496
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197750
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
348719
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
197741197742197743197744197745197746197747197748197749197750