Displaying 189401-189410 of 1611142 results.
ID:
189401
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1665517
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189402
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1668238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189403
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1722939
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189404
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
861360
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189405
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1734683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189406
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
207949
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189407
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
966154
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189408
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
966161
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189409
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
966167
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189410
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
966401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
189401189402189403189404189405189406189407189408189409189410