Displaying 12851-12860 of 1611142 results.
ID:
12851
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001439
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
12852
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437713
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12853
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918242
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
12854
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862595
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
12855
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921589
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
12856
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862590
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
12857
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1666542
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12858
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
831246
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12859
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
849515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12860
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
833008
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
12851128521285312854128551285612857128581285912860