Displaying 198931-198940 of 1611142 results.
ID:
198931
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1115468
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198932
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1926069
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198933
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1115459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198934
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1115464
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198935
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1115473
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198936
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1946522
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198937
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
966271
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
198938
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
727705
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
198939
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1655728
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
198940
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
825170
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
198931198932198933198934198935198936198937198938198939198940