Displaying 39481-39490 of 1611142 results.
ID:
39481
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860137
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
39482
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860148
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
39483
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
835894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39484
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
835925
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39485
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
241834
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39486
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1368954
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39487
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
349094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39488
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
351109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39489
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098666
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39490
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098678
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
39481394823948339484394853948639487394883948939490