Displaying 197901-197910 of 1611142 results.
ID:
197901
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1729047
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
197902
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1729076
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
200
Qty Limit Days:
30
ID:
197903
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1251192
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197904
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1251196
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197905
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1488667
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197906
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1488671
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197907
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1488675
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197908
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1488679
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197909
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1858833
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197910
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2261800
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
197901197902197903197904197905197906197907197908197909197910