Displaying 13371-13380 of 1611142 results.
ID:
13371
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13372
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
207035
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13373
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
261101
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13374
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
847232
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
13375
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
285018
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
13376
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
855178
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13377
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
866094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13378
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
866083
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13379
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
211817
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13380
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801283
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
13371133721337313374133751337613377133781337913380