Displaying 38781-38790 of 1611142 results.
ID:
38781
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876916
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
38782
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111642
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
38783
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487363
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
38784
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
308725
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
420
Qty Limit Days:
30
ID:
38785
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
855657
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
38786
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812011
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38787
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812013
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38788
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
562806
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
38789
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38790
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
38781387823878338784387853878638787387883878938790