Displaying 17451-17460 of 1611142 results.
ID:
17451
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
17452
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17453
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
403890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17454
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17455
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197550
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17456
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17457
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102713
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17458
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102715
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17459
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2475840
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
560
Qty Limit Days:
28
ID:
17460
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2107621
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
17451174521745317454174551745617457174581745917460