Displaying 17491-17500 of 1611142 results.
ID:
17491
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
314111
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17492
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
858798
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
17493
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
197738
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17494
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17495
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17496
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
884386
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
17497
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
884385
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
17498
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
993770
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
17499
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
993890
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
17500
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
864718
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
17491174921749317494174951749617497174981749917500