Displaying 199201-199210 of 1611142 results.
ID:
199201
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
106258
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
199202
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
203105
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
199203
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197409
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
199204
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197408
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
199205
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197405
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
199206
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
103401
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
199207
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197327
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199208
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199209
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
199041
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
199210
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
242736
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
199201199202199203199204199205199206199207199208199209199210