Displaying 10801-10810 of 1611142 results.
ID:
10801
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197363
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10802
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10803
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197383
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10804
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
197382
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10805
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10806
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
603378
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10807
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190225
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
10808
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
580261
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10809
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
28
ID:
10810
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1552004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
10801108021080310804108051080610807108081080910810