Displaying 10871-10880 of 1611142 results.
ID:
10871
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
359296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10872
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
308212
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10873
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
403810
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
10874
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
403811
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
10875
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806195
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10876
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806179
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
10877
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806183
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
10878
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
308191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10879
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
199119
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
10880
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
864110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
10871108721087310874108751087610877108781087910880