Displaying 22821-22830 of 1611142 results.
ID:
22821
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
665040
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22822
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
744846
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22823
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
665036
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22824
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547114
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22825
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547118
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
22826
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235595
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22827
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235591
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22828
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
668606
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22829
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
861821
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
22830
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
861771
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
22821228222282322824228252282622827228282282922830