Displaying 35861-35870 of 1611142 results.
ID:
35861
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055815
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35862
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1441740
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35863
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
835721
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35864
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1046920
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1008
Qty Limit Days:
90
ID:
35865
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
404457
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35866
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
404458
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35867
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
404459
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35868
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1549456
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35869
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1549454
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
35870
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
205562
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
35861358623586335864358653586635867358683586935870