Displaying 190391-190400 of 1611142 results.
ID:
190391
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
205316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190392
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
205315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190393
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
313583
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
190394
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
313585
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
190395
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
992438
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190396
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
992447
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190397
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
310672
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190398
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
314035
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190399
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197754
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190400
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
686924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
190391190392190393190394190395190396190397190398190399190400