Displaying 184001-184010 of 1611142 results.
ID:
184001
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2178077
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184002
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
311671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184003
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
898367
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184004
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
898378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184005
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
898372
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184006
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
198228
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184007
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
852913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184008
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
993536
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
184009
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
852877
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184010
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
184001184002184003184004184005184006184007184008184009184010