Displaying 39141-39150 of 1611142 results.
ID:
39141
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1595457
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39142
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2268231
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
39143
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2268227
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
39144
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
402092
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
39145
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
861637
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39146
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
861206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39147
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
904170
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39148
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
854859
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39149
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1859000
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
39150
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604544
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
28
39141391423914339144391453914639147391483914939150