Displaying 22461-22470 of 1611142 results.
ID:
22461
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22462
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988319
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22463
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22464
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988330
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22465
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22466
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054979
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
22467
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054983
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
22468
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055016
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
22469
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055014
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
22470
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
197701
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
22461224622246322464224652246622467224682246922470