Displaying 11591-11600 of 1611142 results.
ID:
11591
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
11592
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
11593
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
11594
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
11595
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
11596
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2059017
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11597
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1232084
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11598
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1232088
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11599
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114202
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
11600
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1549683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
11591115921159311594115951159611597115981159911600