Displaying 182101-182110 of 1611142 results.
ID:
182101
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1100075
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
182102
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1918044
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
182103
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2000019
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
182104
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1994362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
182105
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1442992
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
182106
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2000023
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
182107
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2000027
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
182108
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2000031
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
182109
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1300386
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
182110
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
829989
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
182101182102182103182104182105182106182107182108182109182110