Displaying 16871-16880 of 1611142 results.
ID:
16871
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045382
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
16872
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2109239
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16873
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2170993
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
16874
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2173822
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
16875
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395775
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
16876
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16877
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
207840
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16878
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178081
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16879
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
16880
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
311671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
16871168721687316874168751687616877168781687916880