Displaying 198401-198410 of 1611142 results.
ID:
198401
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1437713
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
198402
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1918242
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
198403
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1862595
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
198404
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1921589
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
198405
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1862590
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
198406
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1666545
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198407
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1666542
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198408
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
831246
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198409
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2383561
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198410
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1809416
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
198401198402198403198404198405198406198407198408198409198410