Displaying 14071-14080 of 1611142 results.
ID:
14071
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243040
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
14072
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243026
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
14073
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545664
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
14074
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545668
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
14075
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1651275
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
14076
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664321
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
14077
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667882
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
14078
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665369
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
14079
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664328
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
14080
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664325
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
14071140721407314074140751407614077140781407914080