Displaying 13941-13950 of 1611142 results.
ID:
13941
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806191
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13942
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806193
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
13943
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
905369
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13944
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13945
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
13946
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
13947
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
349197
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
13948
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
905516
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13949
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
905495
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
13950
Formulary ID:
00021004
Formulary Version:
14
Contract Year:
2021
RXCUI:
835913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
13941139421394313944139451394613947139481394913950