Displaying 38841-38850 of 1611142 results.
ID:
38841
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1366192
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
38842
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796922
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38843
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1744001
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38844
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1744005
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38845
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1744009
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38846
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243585
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38847
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
313988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38848
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
198032
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38849
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
309307
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38850
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790684
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
38841388423884338844388453884638847388483884938850