Displaying 11041-11050 of 1611142 results.
ID:
11041
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1537209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11042
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11043
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1539953
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11044
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1539955
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11045
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11046
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11047
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11048
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11049
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607784
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11050
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
11041110421104311044110451104611047110481104911050