Displaying 189001-189010 of 1611142 results.
ID:
189001
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
896758
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189002
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
896762
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189003
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
845515
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
189004
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1119400
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
189005
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
199369
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189006
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
861164
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189007
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
861171
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189008
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
645037
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
189009
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1000064
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189010
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
577154
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
189001189002189003189004189005189006189007189008189009189010