Displaying 39101-39110 of 1611142 results.
ID:
39101
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
836636
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39102
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
836634
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39103
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597099
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
365
ID:
39104
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597103
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
365
ID:
39105
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1292443
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39106
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
804186
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39107
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1292459
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
365
ID:
39108
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658106
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39109
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658102
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39110
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
798451
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
39101391023910339104391053910639107391083910939110