Displaying 3971-3980 of 1611142 results.
ID:
3971
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
801031
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3972
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
866924
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3973
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
3974
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
3975
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
856720
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3976
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3977
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298857
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3978
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
197464
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
3979
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
856840
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
3980
Formulary ID:
00021001
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298861
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
3971397239733974397539763977397839793980