Displaying 190291-190300 of 1611142 results.
ID:
190291
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1996246
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190292
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
859081
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
190293
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
846192
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190294
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
759697
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190295
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
759481
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190296
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2046376
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
190297
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1486691
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190298
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1111020
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190299
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1653221
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190300
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2046380
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
190291190292190293190294190295190296190297190298190299190300