Displaying 9621-9630 of 1611142 results.
ID:
9621
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054269
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
9622
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
432400
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
9623
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
9624
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1944382
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
9625
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1944376
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
9626
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921081
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
9627
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1866047
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
9628
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099026
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
9629
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099269
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
9630
Formulary ID:
00021002
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006065
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
9621962296239624962596269627962896299630