Displaying 198561-198570 of 1611142 results.
ID:
198561
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2369403
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
198562
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1594673
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198563
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
905059
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198564
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
905064
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198565
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
905057
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198566
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2475406
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198567
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198050
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198568
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
198049
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198569
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1251334
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198570
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1190110
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
198561198562198563198564198565198566198567198568198569198570