Displaying 192011-192020 of 1611142 results.
ID:
192011
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
894814
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192012
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
892554
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
192013
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
991039
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192014
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
991194
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192015
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
991336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192016
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
991044
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192017
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
991188
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192018
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
584414
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192019
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
857297
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192020
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
857301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
192011192012192013192014192015192016192017192018192019192020