Displaying 12791-12800 of 1611142 results.
ID:
12791
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602040
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
12792
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602046
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
12793
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265729
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12794
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265732
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12795
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265735
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12796
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809643
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12797
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12798
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1495070
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
12799
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
199888
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12800
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
151226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
12791127921279312794127951279612797127981279912800