Displaying 179901-179910 of 1611142 results.
ID:
179901
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
207100
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179902
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
208821
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179903
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
211020
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
179904
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307630
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
179905
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1307635
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
179906
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243010
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
179907
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243014
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
179908
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1601394
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
179909
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1601386
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
179910
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1601390
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
179901179902179903179904179905179906179907179908179909179910