Displaying 13311-13320 of 1611142 results.
ID:
13311
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2056897
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13312
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
746609
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
13313
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
845518
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
13314
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
845512
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
13315
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
847734
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13316
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
860244
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
30
ID:
13317
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1002300
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
13318
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
998191
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
13319
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1012899
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13320
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1119402
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
13311133121331313314133151331613317133181331913320