Displaying 23581-23590 of 1611142 results.
ID:
23581
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23582
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23583
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
23584
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
23585
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437702
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
23586
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
857002
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
23587
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
857005
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
23588
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
856999
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
23589
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
993781
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
23590
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049221
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
23581235822358323584235852358623587235882358923590