Displaying 22791-22800 of 1611142 results.
ID:
22791
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1731317
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
22792
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
643177
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22793
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
643173
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
22794
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
643175
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22795
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
799830
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22796
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1045408
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22797
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1045404
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22798
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364441
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
22799
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364447
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
22800
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1145932
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
22791227922279322794227952279622797227982279922800