Displaying 198011-198020 of 1611142 results.
ID:
198011
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198012
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1996246
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198013
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
859081
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198014
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
723526
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198015
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2257015
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
198016
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2044720
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198017
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2044726
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198018
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2044732
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198019
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2052826
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198020
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
846192
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
198011198012198013198014198015198016198017198018198019198020