Displaying 13041-13050 of 1611142 results.
ID:
13041
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1045404
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13042
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364441
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13043
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364447
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13044
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1145932
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13045
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799230
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13046
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1925255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13047
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1925257
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13048
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1598989
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13049
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601660
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13050
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
13041130421304313044130451304613047130481304913050