Displaying 33921-33930 of 1611142 results.
ID:
33921
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
905379
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33922
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790533
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
33923
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791560
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
33924
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791569
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
33925
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791576
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
33926
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791582
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
33927
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33928
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
862006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33929
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
862013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33930
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
862019
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
33921339223392333924339253392633927339283392933930