Displaying 189191-189200 of 1611142 results.
ID:
189191
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
861448
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
ID:
189192
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
309370
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
189193
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
103457
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
189194
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197407
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189195
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
189196
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189197
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
349351
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189198
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
204135
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189199
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
189200
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1992281
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
28
189191189192189193189194189195189196189197189198189199189200