Displaying 13891-13900 of 1611142 results.
ID:
13891
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
833143
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13892
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
833149
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13893
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
833146
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
13894
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13895
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13896
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433229
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13897
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13898
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13899
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307309
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13900
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052609
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
13891138921389313894138951389613897138981389913900