Displaying 198031-198040 of 1611142 results.
ID:
198031
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
387003
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198032
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
807832
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
198033
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
846378
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
198034
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309112
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198035
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309114
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198036
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
828373
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198037
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
349420
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198038
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313570
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198039
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198040
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
198031198032198033198034198035198036198037198038198039198040