Displaying 38851-38860 of 1611142 results.
ID:
38851
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
310003
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38852
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
310004
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38853
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
310005
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38854
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38855
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
197682
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38856
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
866910
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38857
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
308867
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38858
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1092357
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38859
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665473
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
38860
Formulary ID:
00021011
Formulary Version:
14
Contract Year:
2021
RXCUI:
1798370
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
38851388523885338854388553885638857388583885938860