Displaying 22091-22100 of 1611142 results.
ID:
22091
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
794641
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
22092
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
617768
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
22093
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790892
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22094
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790886
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22095
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790890
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22096
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2384465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
22097
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1670324
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
28
ID:
22098
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1670322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
22099
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
309952
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22100
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197622
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
22091220922209322094220952209622097220982209922100