Displaying 188901-188910 of 1611142 results.
ID:
188901
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1053753
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
188902
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1006688
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188903
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
861434
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
188904
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188905
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188906
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
861490
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
236
Qty Limit Days:
28
ID:
188907
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
798133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188908
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
755470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188909
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
544452
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
188910
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
597768
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
188901188902188903188904188905188906188907188908188909188910