Displaying 13091-13100 of 1611142 results.
ID:
13091
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1292459
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
365
ID:
13092
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658106
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13093
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658102
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13094
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
798451
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13095
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
830263
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13096
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658150
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13097
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13098
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1441740
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13099
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
835721
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13100
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1046920
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1008
Qty Limit Days:
90
13091130921309313094130951309613097130981309913100