Displaying 184101-184110 of 1611142 results.
ID:
184101
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
847917
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
184102
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
847913
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
184103
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1990869
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
184104
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
861045
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
184105
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
861043
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
184106
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2169276
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
184107
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1925504
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
184108
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184109
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184110
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
184101184102184103184104184105184106184107184108184109184110