Displaying 188881-188890 of 1611142 results.
ID:
188881
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
977978
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188882
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
309289
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
28
ID:
188883
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
309291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188884
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1235049
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188885
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
705129
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188886
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597120
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
37
Qty Limit Days:
30
ID:
188887
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1597126
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
188888
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
310982
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188889
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
188890
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
309290
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
188881188882188883188884188885188886188887188888188889188890