Displaying 190671-190680 of 1611142 results.
ID:
190671
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2045961
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190672
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2045958
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190673
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2059189
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190674
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2055286
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190675
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2265701
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
190676
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283505
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
190677
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283515
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
190678
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283518
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
190679
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283509
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
190680
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
2283513
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
190671190672190673190674190675190676190677190678190679190680