Displaying 11281-11290 of 1611142 results.
ID:
11281
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
198238
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11282
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1922720
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11283
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11284
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298910
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
11285
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298816
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
11286
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298906
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
11287
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
858613
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11288
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
858616
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11289
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11290
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
891881
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
11281112821128311284112851128611287112881128911290