Displaying 187901-187910 of 1611142 results.
ID:
187901
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
790489
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187902
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
763519
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187903
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
763574
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187904
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
763589
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187905
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
618557
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187906
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
311984
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187907
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
311985
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187908
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
360344
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187909
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
349477
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187910
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
606726
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
187901187902187903187904187905187906187907187908187909187910