Displaying 187331-187340 of 1611142 results.
ID:
187331
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2284106
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
187332
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
616287
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
187333
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1541928
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
187334
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
702296
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187335
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
616292
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
187336
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1357547
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
187337
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2048568
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
187338
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2478437
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
187339
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2099956
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
187340
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2058926
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
187331187332187333187334187335187336187337187338187339187340