Displaying 190851-190860 of 1611142 results.
ID:
190851
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1549456
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190852
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1549454
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190853
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
882533
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190854
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
205562
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190855
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1011987
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190856
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1009341
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
190857
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
864820
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
190858
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595462
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190859
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595473
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190860
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595478
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
190851190852190853190854190855190856190857190858190859190860