Displaying 37171-37180 of 1611142 results.
ID:
37171
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
37172
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
310594
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
37173
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
905379
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
37174
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790533
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
37175
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791560
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
37176
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791569
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
37177
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791576
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
37178
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791582
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
37179
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
37180
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
862006
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
37171371723717337174371753717637177371783717937180