Displaying 197871-197880 of 1611142 results.
ID:
197871
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1800499
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197872
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1800500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197873
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
992150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197874
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
724863
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197875
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
724859
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197876
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
724861
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197877
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
403818
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197878
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
730869
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197879
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
897021
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
197880
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2049264
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
197871197872197873197874197875197876197877197878197879197880