Displaying 183301-183310 of 1611142 results.
ID:
183301
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
483440
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
183302
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
483444
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
183303
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2178403
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183304
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2178405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183305
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2382990
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183306
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2178407
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183307
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2178409
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183308
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2382991
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183309
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2382993
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
183310
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
2272630
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
183301183302183303183304183305183306183307183308183309183310