Displaying 187941-187950 of 1611142 results.
ID:
187941
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
830872
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187942
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
208327
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187943
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
260350
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187944
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
260351
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187945
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
432401
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187946
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000058
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187947
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
226552
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187948
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
748878
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
187949
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1918042
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
187950
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111641
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
187941187942187943187944187945187946187947187948187949187950