Displaying 3801-3810 of 1611142 results.
ID:
3801
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3802
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
103401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3803
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
242736
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3804
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
706546
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3805
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
311033
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
3806
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
311027
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
3807
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
213442
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
3808
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860172
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
28
ID:
3809
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206092
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
3810
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206099
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
3801380238033804380538063807380838093810