Displaying 188371-188380 of 1611142 results.
ID:
188371
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1719803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188372
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
866103
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
188373
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
672567
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
188374
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
188375
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
188376
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1543182
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188377
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
188378
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
188379
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
996097
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188380
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
188371188372188373188374188375188376188377188378188379188380