Displaying 11601-11610 of 1611142 results.
ID:
11601
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650968
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
84
ID:
11602
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650972
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
11603
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650974
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
11604
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650976
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
84
ID:
11605
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739766
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11606
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739774
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11607
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2173500
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
11608
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739778
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11609
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739782
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
11610
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
795085
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
11601116021160311604116051160611607116081160911610