Displaying 13071-13080 of 1611142 results.
ID:
13071
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235591
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13072
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
668606
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13073
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861821
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13074
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
861771
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13075
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729311
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
13076
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055766
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13077
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1734642
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13078
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988671
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
13079
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988675
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
13080
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1924315
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
13071130721307313074130751307613077130781307913080