Displaying 192141-192150 of 1611142 results.
ID:
192141
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091210
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192142
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
808751
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192143
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
808753
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192144
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
808744
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192145
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
808748
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192146
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
861601
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192147
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
861597
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192148
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
615882
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
192149
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
643070
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
192150
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
197848
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
192141192142192143192144192145192146192147192148192149192150