Displaying 190021-190030 of 1611142 results.
ID:
190021
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2261794
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
190022
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190023
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
858804
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190024
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1368036
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
190025
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
902624
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
190026
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
902626
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190027
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1368012
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
190028
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1368398
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
190029
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1368391
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
190030
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1368020
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
190021190022190023190024190025190026190027190028190029190030