Displaying 15801-15810 of 1611142 results.
ID:
15801
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1737581
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15802
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2048025
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15803
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
404419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15804
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
106351
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15805
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15806
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
198242
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
15807
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
308136
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15808
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
15809
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
310432
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
15810
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
311880
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
15801158021580315804158051580615807158081580915810