Displaying 11541-11550 of 1611142 results.
ID:
11541
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
728231
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11542
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657212
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11543
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1735537
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11544
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
992403
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11545
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1735496
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11546
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1147228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
11547
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2197873
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
11548
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2197877
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
11549
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
205532
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
11550
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1592285
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
11541115421154311544115451154611547115481154911550