Displaying 38391-38400 of 1611142 results.
ID:
38391
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
259081
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
38392
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
835603
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
38393
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
283536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38394
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
199387
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
38395
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
308429
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38396
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
283523
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2160
Qty Limit Days:
30
ID:
38397
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
197745
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38398
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
197746
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38399
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
198358
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38400
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099569
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
38391383923839338394383953839638397383983839938400