Displaying 12691-12700 of 1611142 results.
ID:
12691
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
861736
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
12692
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
861740
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
12693
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
312817
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12694
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
577315
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12695
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
577317
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12696
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
836395
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
12697
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
833234
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12698
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
905158
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12699
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
199376
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12700
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
12691126921269312694126951269612697126981269912700