Displaying 39681-39690 of 1611142 results.
ID:
39681
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
834350
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39682
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801299
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39683
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
832731
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39684
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801295
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39685
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123111
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
39686
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
198071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39687
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
197541
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
39688
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
753478
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39689
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
753479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39690
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1428933
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
39681396823968339684396853968639687396883968939690