Displaying 24161-24170 of 1611142 results.
ID:
24161
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24162
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
308493
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24163
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24164
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
310594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24165
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
905379
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24166
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790533
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24167
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791560
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24168
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791569
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24169
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791576
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
24170
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791582
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
24161241622416324164241652416624167241682416924170