Displaying 21921-21930 of 1611142 results.
ID:
21921
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204104
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
21922
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204102
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
21923
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721619
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21924
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747697
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21925
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1741739
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
21926
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799218
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
21927
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288816
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
21928
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1858267
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
21929
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939335
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
21930
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999673
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
21921219222192321924219252192621927219282192921930