Displaying 38611-38620 of 1611142 results.
ID:
38611
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
807832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38612
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
846378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38613
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
309112
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38614
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
309114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38615
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
313570
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
30
ID:
38616
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
30
ID:
38617
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38618
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
309048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38619
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
105171
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38620
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
995599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
38611386123861338614386153861638617386183861938620