Displaying 24351-24360 of 1611142 results.
ID:
24351
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307056
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
24352
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010604
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
24353
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24354
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
351223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
24355
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
198070
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24356
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
401938
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
24357
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
751566
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24358
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
751568
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24359
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
751570
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
24360
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
897044
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
24351243522435324354243552435624357243582435924360