Displaying 188201-188210 of 1611142 results.
ID:
188201
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188202
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188203
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188204
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
313472
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188205
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198153
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188206
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188207
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
312615
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188208
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197365
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188209
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197366
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188210
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197363
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
188201188202188203188204188205188206188207188208188209188210