Displaying 32481-32490 of 1611142 results.
ID:
32481
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1591943
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
32482
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799212
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
32483
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659183
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
32484
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659161
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
32485
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2467571
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
32486
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2467575
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
32487
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2472789
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
32488
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2478450
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
32489
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
2369403
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
32490
Formulary ID:
00021009
Formulary Version:
14
Contract Year:
2021
RXCUI:
1594673
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
32481324823248332484324853248632487324883248932490