Displaying 33811-33820 of 1611142 results.
ID:
33811
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33812
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33813
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607784
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33814
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
33815
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
33816
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
33817
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
314231
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
33818
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
312961
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
33819
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
198211
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
33820
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
200060
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
33811338123381333814338153381633817338183381933820