Displaying 180001-180010 of 1611142 results.
ID:
180001
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180002
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364118
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180003
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1364122
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180004
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1603361
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
21
ID:
180005
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1603365
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
21
ID:
180006
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1603369
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
21
ID:
180007
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1656346
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
180008
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1425110
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
180009
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1425118
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
180010
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
867506
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
180001180002180003180004180005180006180007180008180009180010