Displaying 189691-189700 of 1611142 results.
ID:
189691
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189692
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
328160
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189693
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
310490
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
189694
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
310488
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
189695
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
993687
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189696
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
993691
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
189697
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
903887
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
189698
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
189699
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
903884
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
189700
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
189691189692189693189694189695189696189697189698189699189700