Displaying 36801-36810 of 1611142 results.
ID:
36801
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
36802
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
311892
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
36803
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
311893
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
36804
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
199521
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
36805
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
198076
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
36806
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
198077
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
36807
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
198078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
36808
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
198075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
36809
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
313472
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
36810
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
198153
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
36801368023680336804368053680636807368083680936810