Displaying 2821-2830 of 1611142 results.
ID:
2821
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
2822
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923822
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2823
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923828
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2824
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923826
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2825
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
2826
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
2827
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490038
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
2828
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2829
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2257015
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
2830
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044720
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
2821282228232824282528262827282828292830