Displaying 15411-15420 of 1611142 results.
ID:
15411
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1484922
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
15412
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2203999
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
15413
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204092
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
15414
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544471
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15415
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544475
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15416
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1591949
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
15417
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204104
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
15418
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204102
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
15419
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721619
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15420
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747697
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
15411154121541315414154151541615417154181541915420