Displaying 25171-25180 of 1611142 results.
ID:
25171
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544475
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
25172
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1591949
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
25173
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204104
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
25174
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2204102
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
25175
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721619
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25176
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747697
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25177
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1741739
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
25178
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799218
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
25179
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
2288816
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
25180
Formulary ID:
00021007
Formulary Version:
14
Contract Year:
2021
RXCUI:
1858267
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
25171251722517325174251752517625177251782517925180