Displaying 21341-21350 of 1611142 results.
ID:
21341
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
207059
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
21342
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
211140
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
21343
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
706831
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
21344
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
706827
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
21345
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
21346
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
21347
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
21348
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
21349
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
21350
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
21341213422134321344213452134621347213482134921350