Displaying 190361-190370 of 1611142 results.
ID:
190361
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
848140
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190362
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
848131
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190363
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
848145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190364
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
848151
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190365
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
848135
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190366
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
672149
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
190367
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
477347
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190368
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
642452
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190369
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
602635
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190370
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1736654
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
190361190362190363190364190365190366190367190368190369190370