Displaying 188211-188220 of 1611142 results.
ID:
188211
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197364
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188212
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197383
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188213
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197382
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188214
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188215
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
603378
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188216
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
188217
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
580261
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
90
ID:
188218
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
30
ID:
188219
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1552004
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
188220
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1430453
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
188211188212188213188214188215188216188217188218188219188220