Displaying 188001-188010 of 1611142 results.
ID:
188001
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
188002
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
188003
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
188004
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
188005
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197696
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
188006
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1870650
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188007
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
829762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188008
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1191234
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188009
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1724338
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
188010
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1658637
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
188001188002188003188004188005188006188007188008188009188010