Displaying 187201-187210 of 1611142 results.
ID:
187201
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
153580
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187202
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2268231
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
187203
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2268227
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
187204
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
402092
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
187205
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
861637
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187206
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
861206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187207
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
904170
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187208
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1859000
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
187209
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1604544
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187210
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2002420
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
187201187202187203187204187205187206187207187208187209187210