Displaying 31-40 of 1611142 results.
ID:
31
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
799830
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
32
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1045408
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
33
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1045404
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
34
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364441
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
35
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364447
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
36
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1145932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
37
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799230
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
38
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1925255
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
39
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1925257
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1598989
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
31323334353637383940