Displaying 199501-199510 of 1611142 results.
ID:
199501
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1049221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199502
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1049225
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199503
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1049214
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199504
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
199505
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
199506
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091145
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
199507
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091225
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
199508
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1806181
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
199509
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1806197
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
199510
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
199501199502199503199504199505199506199507199508199509199510