Displaying 13381-13390 of 1611142 results.
ID:
13381
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
978006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13382
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
834022
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
13383
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
833217
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13384
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
831103
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13385
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
831102
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13386
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
831054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13387
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197724
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13388
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197381
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13389
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197379
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13390
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
904458
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
13381133821338313384133851338613387133881338913390