Displaying 39801-39810 of 1611142 results.
ID:
39801
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
39802
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39803
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
39804
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
834241
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
39805
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
359144
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39806
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
359145
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39807
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39808
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
242892
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
39809
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1149632
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
39810
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
242891
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
39801398023980339804398053980639807398083980939810