Displaying 190351-190360 of 1611142 results.
ID:
190351
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
853201
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
190352
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190353
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190354
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190355
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190356
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190357
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190358
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190359
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
309054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190360
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
826612
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
190351190352190353190354190355190356190357190358190359190360