Displaying 198321-198330 of 1611142 results.
ID:
198321
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1251190
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198322
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199888
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198323
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
151226
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198324
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199889
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198325
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
311486
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
198326
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
904396
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
198327
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
199672
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198328
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
252559
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198329
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
239238
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198330
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
602393
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
198321198322198323198324198325198326198327198328198329198330