Displaying 39051-39060 of 1611142 results.
ID:
39051
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1731317
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
39052
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
643177
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
39053
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
643173
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
39054
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
643175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
39055
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
799830
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
39056
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1045408
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
39057
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1045404
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
39058
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364441
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
39059
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364447
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
39060
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1145932
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
39051390523905339054390553905639057390583905939060