Displaying 12581-12590 of 1611142 results.
ID:
12581
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
12582
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
12583
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490038
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
12584
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12585
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2257015
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
12586
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044720
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12587
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044726
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12588
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044732
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12589
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046376
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12590
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046380
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
12581125821258312584125851258612587125881258912590