Displaying 198901-198910 of 1611142 results.
ID:
198901
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2463737
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198902
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2463733
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198903
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198904
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
198905
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198906
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198907
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198908
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
198909
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
207088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198910
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
855871
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
198901198902198903198904198905198906198907198908198909198910