Displaying 187661-187670 of 1611142 results.
ID:
187661
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197591
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
187662
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197589
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
187663
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197391
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187664
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197392
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187665
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
597852
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187666
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
597850
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187667
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
310273
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187668
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
284245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187669
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
835886
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187670
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
866049
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
187661187662187663187664187665187666187667187668187669187670