Displaying 197761-197770 of 1611142 results.
ID:
197761
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
404475
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197762
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
404476
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197763
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
539789
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197764
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197765
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2045245
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197766
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197767
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1244062
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197768
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1244064
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197769
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1596778
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197770
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
636141
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
197761197762197763197764197765197766197767197768197769197770