Displaying 39191-39200 of 1611142 results.
ID:
39191
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
997296
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
39192
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39193
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39194
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39195
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39196
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39197
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
897657
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
39198
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049604
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1300
Qty Limit Days:
30
ID:
39199
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1874559
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
39200
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1874553
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
39191391923919339194391953919639197391983919939200