Displaying 13611-13620 of 1611142 results.
ID:
13611
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
896006
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
13612
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1539893
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13613
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487528
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13614
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547660
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13615
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547672
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13616
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720606
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
13617
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648789
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13618
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1945048
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13619
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045382
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13620
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2109239
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
13611136121361313614136151361613617136181361913620