Displaying 188701-188710 of 1611142 results.
ID:
188701
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
905041
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
188702
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
905092
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
188703
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
905100
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
188704
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
153822
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188705
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
153823
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188706
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
639537
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188707
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
578325
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188708
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
578330
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188709
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
802749
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188710
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
861822
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
188701188702188703188704188705188706188707188708188709188710