Displaying 190031-190040 of 1611142 results.
ID:
190031
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790892
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
190032
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790886
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
190033
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1790890
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
190034
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2384465
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
190035
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1670324
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190036
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1670322
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190037
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1737789
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190038
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
309952
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190039
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197622
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190040
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
309955
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
190031190032190033190034190035190036190037190038190039190040