Displaying 15791-15800 of 1611142 results.
ID:
15791
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861232
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
15792
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1367436
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
15793
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
352210
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15794
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198175
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15795
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1361615
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15796
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1361226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15797
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861363
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15798
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861365
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15799
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861356
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15800
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1737244
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
15791157921579315794157951579615797157981579915800