Displaying 188671-188680 of 1611142 results.
ID:
188671
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
188672
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
188673
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
199885
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188674
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
242438
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188675
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
200094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188676
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
200095
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188677
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
200096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188678
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197311
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188679
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197313
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188680
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
313566
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
188671188672188673188674188675188676188677188678188679188680