Displaying 13871-13880 of 1611142 results.
ID:
13871
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13872
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040016
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13873
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13874
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13875
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086780
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13876
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086786
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13877
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307415
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13878
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307421
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13879
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1869699
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13880
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1805427
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
13871138721387313874138751387613877138781387913880