Displaying 198001-198010 of 1611142 results.
ID:
198001
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198002
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1923822
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198003
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1923828
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198004
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1923826
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198005
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
198006
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
198007
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1490038
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
198008
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1597620
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198009
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1540890
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
6
ID:
198010
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1540868
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
6
198001198002198003198004198005198006198007198008198009198010