Displaying 187801-187810 of 1611142 results.
ID:
187801
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
847913
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
187802
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1990869
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
187803
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
861045
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
187804
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
861043
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
187805
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2169276
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
187806
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1925504
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
187807
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187808
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729511
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187809
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1085773
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187810
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1648999
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
187801187802187803187804187805187806187807187808187809187810