Displaying 36631-36640 of 1611142 results.
ID:
36631
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
309092
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
36632
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665005
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
36633
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
311683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
36634
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
36635
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040012
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
36636
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040016
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
36637
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
36638
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
36639
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086780
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
36640
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086786
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
36631366323663336634366353663636637366383663936640