Displaying 188101-188110 of 1611142 results.
ID:
188101
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188102
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188103
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
188104
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
349197
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
188105
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
835913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188106
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188107
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
977883
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188108
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197863
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188109
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197556
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188110
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197554
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
188101188102188103188104188105188106188107188108188109188110