Displaying 22921-22930 of 1611142 results.
ID:
22921
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
885857
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22922
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
860901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
200
Qty Limit Days:
30
ID:
22923
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
351265
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
22924
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
351266
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
22925
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
351267
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
22926
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
905172
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22927
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
905168
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
22928
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
892589
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
700
Qty Limit Days:
30
ID:
22929
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
894780
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
22930
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
997287
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
22921229222292322924229252292622927229282292922930