Displaying 197921-197930 of 1611142 results.
ID:
197921
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861654
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197922
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2123076
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
197923
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349591
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197924
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349592
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197925
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349593
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197926
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1011736
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
197927
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1011739
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197928
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
388311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197929
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
200133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
197930
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
200131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
197921197922197923197924197925197926197927197928197929197930