Displaying 15491-15500 of 1611142 results.
ID:
15491
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099678
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15492
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099870
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15493
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356563
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15494
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356572
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15495
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356576
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15496
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356580
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15497
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356584
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15498
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1356588
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15499
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790126
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
720
Qty Limit Days:
30
ID:
15500
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
824299
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
15491154921549315494154951549615497154981549915500