Displaying 188401-188410 of 1611142 results.
ID:
188401
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
314111
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188402
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
858798
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
188403
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197738
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188404
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188405
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188406
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
993770
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
188407
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
993890
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
188408
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
864718
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
188409
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
977939
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
188410
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
977942
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
188401188402188403188404188405188406188407188408188409188410