Displaying 192001-192010 of 1611142 results.
ID:
192001
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
241946
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192002
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
388525
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192003
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192004
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
308962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192005
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
849395
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192006
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
892494
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192007
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
892596
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192008
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
892345
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192009
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
894801
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192010
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
892352
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
192001192002192003192004192005192006192007192008192009192010