Displaying 17661-17670 of 1611142 results.
ID:
17661
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
905379
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17662
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790533
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17663
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791560
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17664
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791569
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17665
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791576
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
17666
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791582
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
17667
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17668
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
862006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17669
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
862013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17670
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
862019
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
17661176621766317664176651766617667176681766917670