Displaying 186201-186210 of 1611142 results.
ID:
186201
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
861430
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186202
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197939
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186203
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
197940
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186204
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
886662
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186205
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
886666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186206
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
886671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186207
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
686400
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186208
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190572
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186209
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
686418
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186210
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
476345
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
186201186202186203186204186205186206186207186208186209186210