Displaying 16851-16860 of 1611142 results.
ID:
16851
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
896027
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
16852
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
896023
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
16853
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
213484
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16854
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
759473
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
180
ID:
16855
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
896185
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
16856
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
896212
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
16857
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
896229
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
16858
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
896237
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
16859
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
896245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
16860
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
896273
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
16851168521685316854168551685616857168581685916860