Displaying 230191-230200 of 1611142 results.
ID:
230191
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197517
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230192
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
996740
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230193
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
311369
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230194
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1482908
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
230195
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1806187
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230196
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1806189
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230197
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1806191
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230198
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1806193
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230199
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
310497
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230200
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
230191230192230193230194230195230196230197230198230199230200