Displaying 22521-22530 of 1611142 results.
ID:
22521
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876916
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
22522
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111642
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22523
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487363
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
22524
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
308725
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
420
Qty Limit Days:
30
ID:
22525
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
855657
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
22526
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812011
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22527
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22528
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
562806
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
22529
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22530
Formulary ID:
00021006
Formulary Version:
14
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
22521225222252322524225252252622527225282252922530