Displaying 193001-193010 of 1611142 results.
ID:
193001
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1668238
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193002
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722939
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193003
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
861360
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
193004
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1734683
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193005
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
207949
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193006
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1492746
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
193007
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605455
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
55
Qty Limit Days:
180
ID:
193008
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
993456
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
180
ID:
193009
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1046402
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
193010
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649491
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
193001193002193003193004193005193006193007193008193009193010