Displaying 12971-12980 of 1611142 results.
ID:
12971
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659183
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
12972
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659161
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
12973
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2467571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12974
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2467575
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
12975
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2472789
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12976
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2478450
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
12977
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
2369403
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
12978
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
1594673
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
12979
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
905059
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
12980
Formulary ID:
00021003
Formulary Version:
14
Contract Year:
2021
RXCUI:
905064
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
12971129721297312974129751297612977129781297912980