Displaying 21151-21160 of 1611142 results.
ID:
21151
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
797274
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21152
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
310982
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
21153
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
21154
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21155
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
313852
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21156
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
21157
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21158
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197574
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
21159
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
21160
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
855168
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
21151211522115321154211552115621157211582115921160