Displaying 186401-186410 of 1611142 results.
ID:
186401
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1925264
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186402
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
2049343
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186403
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
312941
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
186404
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
312938
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
186405
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
308194
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186406
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
308182
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186407
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
283406
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186408
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
283407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186409
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
283485
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186410
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
756209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
186401186402186403186404186405186406186407186408186409186410