Displaying 198331-198340 of 1611142 results.
ID:
198331
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
432402
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198332
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
485423
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198333
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
485421
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198334
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
477560
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198335
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
477562
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198336
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
861568
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
198337
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
692576
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
198338
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
692578
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
198339
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1373497
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
198340
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
403875
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
198331198332198333198334198335198336198337198338198339198340