Displaying 187771-187780 of 1611142 results.
ID:
187771
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1189640
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187772
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
800933
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187773
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
207273
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187774
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191267
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187775
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2001321
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
187776
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091843
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187777
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
402091
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
187778
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1986819
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
187779
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1942485
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
187780
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1942489
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
187771187772187773187774187775187776187777187778187779187780