Displaying 9251-9260 of 1611142 results.
ID:
9251
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
485465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
9252
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
352066
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
9253
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
656660
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
9254
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989085
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
9255
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442143
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
9256
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729053
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
9257
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729057
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
9258
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729061
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
9259
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729065
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
9260
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729013
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
9251925292539254925592569257925892599260