Displaying 3011-3020 of 1611142 results.
ID:
3011
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487363
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
3012
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
308725
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
420
Qty Limit Days:
30
ID:
3013
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
855657
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3014
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812011
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3015
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3016
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
562806
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
3017
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3018
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
3019
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
831359
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3020
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
3011301230133014301530163017301830193020