Displaying 198501-198510 of 1611142 results.
ID:
198501
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
966607
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198502
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
208083
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198503
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2054275
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
198504
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2121587
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198505
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2104341
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198506
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2198966
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
7
ID:
198507
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2197890
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198508
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2197894
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198509
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2275613
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198510
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2272118
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
198501198502198503198504198505198506198507198508198509198510