Displaying 37971-37980 of 1611142 results.
ID:
37971
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1550946
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
37972
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
213360
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
37973
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
404449
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
37974
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
700418
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
37975
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
404450
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
37976
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242233
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
37977
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
616116
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
37978
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
616114
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
37979
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
643714
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
37980
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1429367
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
37971379723797337974379753797637977379783797937980