Displaying 198601-198610 of 1611142 results.
ID:
198601
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
208560
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198602
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1992305
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198603
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2046597
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198604
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
1989117
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
198605
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2178792
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
198606
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2477896
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
198607
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
2477898
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198608
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
644304
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198609
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
998035
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198610
Formulary ID:
00021083
Formulary Version:
17
Contract Year:
2021
RXCUI:
998032
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
198601198602198603198604198605198606198607198608198609198610