Displaying 15361-15370 of 1611142 results.
ID:
15361
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
731566
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15362
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
731568
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15363
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
731571
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15364
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
15365
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049227
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
15366
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049216
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
15367
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
854801
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15368
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
313477
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15369
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15370
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000647
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
15361153621536315364153651536615367153681536915370