Displaying 198051-198060 of 1611142 results.
ID:
198051
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
835577
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198052
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
312940
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198053
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309080
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198054
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309081
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198055
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197452
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198056
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197453
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198057
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198058
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
309113
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198059
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
200345
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198060
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
197903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
198051198052198053198054198055198056198057198058198059198060