Displaying 184751-184760 of 1611142 results.
ID:
184751
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
902729
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
184752
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
902736
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
184753
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1306898
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
184754
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
808751
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
184755
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
808753
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
184756
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
808744
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
184757
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
808748
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
184758
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
861601
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
184759
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
184760
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
615882
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
184751184752184753184754184755184756184757184758184759184760