Displaying 190501-190510 of 1611142 results.
ID:
190501
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1251336
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190502
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
749157
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190503
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
748798
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190504
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1053697
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
190505
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
197849
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190506
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1487363
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
190507
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
308725
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190508
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
855657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190509
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1812011
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190510
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1812013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
190501190502190503190504190505190506190507190508190509190510