Displaying 38691-38700 of 1611142 results.
ID:
38691
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
686924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38692
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
200032
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38693
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
979092
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
38694
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738483
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38695
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738495
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38696
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1738503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38697
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38698
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
197412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38699
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
312828
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
38700
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
312829
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
38691386923869338694386953869638697386983869938700