Displaying 14501-14510 of 1611142 results.
ID:
14501
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
351108
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
14502
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
349251
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14503
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
905041
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
14504
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
905092
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
14505
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
905100
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
14506
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14507
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14508
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14509
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
14510
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
14501145021450314504145051450614507145081450914510