Displaying 17721-17730 of 1611142 results.
ID:
17721
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
242679
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17722
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
309313
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
17723
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
351285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17724
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123194
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
17725
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
313565
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17726
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
313564
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17727
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
199885
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17728
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
242438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17729
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
200094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
17730
Formulary ID:
00021005
Formulary Version:
14
Contract Year:
2021
RXCUI:
200095
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
17721177221772317724177251772617727177281772917730