Displaying 21691-21700 of 1611142 results.
ID:
21691
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544398
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21692
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544402
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21693
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659818
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
21694
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659814
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
21695
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658325
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
21696
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658329
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
21697
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658333
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21698
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658337
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21699
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658341
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21700
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
21691216922169321694216952169621697216982169921700