Displaying 13011-13020 of 1611142 results.
ID:
13011
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058877
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
13012
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1745108
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13013
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
13014
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058887
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
13015
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13016
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2170613
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
ID:
13017
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
13018
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2370170
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
13019
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047247
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13020
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2256947
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
13011130121301313014130151301613017130181301913020