Displaying 38741-38750 of 1611142 results.
ID:
38741
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
151029
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38742
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
311265
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38743
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
311264
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38744
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
897649
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38745
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
349594
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
38746
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
349595
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
38747
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
608143
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
38748
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
608139
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
38749
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
897659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38750
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
897640
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
38741387423874338744387453874638747387483874938750