Displaying 186851-186860 of 1611142 results.
ID:
186851
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
311486
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
186852
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
904396
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
186853
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
199672
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186854
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
252559
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
186855
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
239238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186856
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
602393
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186857
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
432402
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186858
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
477560
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186859
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
477562
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
186860
Formulary ID:
00021080
Formulary Version:
13
Contract Year:
2021
RXCUI:
861568
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
186851186852186853186854186855186856186857186858186859186860