Displaying 189301-189310 of 1611142 results.
ID:
189301
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1232591
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
189302
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115012
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
189303
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1115013
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
189304
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
748977
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189305
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189306
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091629
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189307
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091635
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189308
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091638
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189309
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1091623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189310
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1543069
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
189301189302189303189304189305189306189307189308189309189310