Displaying 180401-180410 of 1611142 results.
ID:
180401
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1593775
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
180402
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
847917
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
180403
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
847913
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
180404
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1990869
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
180405
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
861045
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
180406
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
861043
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
180407
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2169276
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
180408
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1925504
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
180409
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180410
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
180401180402180403180404180405180406180407180408180409180410