Displaying 3921-3930 of 1611142 results.
ID:
3921
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
351174
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3922
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
351175
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3923
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
794639
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3924
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
616578
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
3925
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
801417
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3926
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
204520
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3927
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799890
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3928
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
800928
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3929
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
800812
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3930
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1189640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
3921392239233924392539263927392839293930