Displaying 186501-186510 of 1611142 results.
ID:
186501
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1373745
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186502
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1922783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186503
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
485442
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
186504
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
485465
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
186505
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1442143
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186506
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729053
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186507
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729057
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186508
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729061
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186509
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729065
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186510
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729013
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
186501186502186503186504186505186506186507186508186509186510