Displaying 9781-9790 of 1611142 results.
ID:
9781
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1435117
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
9782
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
351859
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
9783
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1731317
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
9784
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
643177
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
9785
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
643173
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
9786
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
643175
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
9787
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
799830
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
9788
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1045408
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
9789
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1045404
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
9790
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364441
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
9781978297839784978597869787978897899790