Displaying 3851-3860 of 1611142 results.
ID:
3851
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
896245
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
3852
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
896273
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
3853
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
895996
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
3854
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
896001
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
3855
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
896006
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
3856
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1539893
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3857
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487528
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3858
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547660
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3859
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547672
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
3860
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720606
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
3851385238533854385538563857385838593860