Displaying 198301-198310 of 1611142 results.
ID:
198301
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1364477
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198302
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1602028
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198303
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1602034
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198304
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1602040
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198305
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1602046
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198306
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2265729
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198307
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2265732
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198308
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2265735
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198309
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1251495
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
198310
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1251501
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
198301198302198303198304198305198306198307198308198309198310