Displaying 40131-40140 of 1611142 results.
ID:
40131
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
992459
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40132
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
311678
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40133
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085728
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40134
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40135
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
628953
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40136
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
381056
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40137
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
206842
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40138
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
198316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40139
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
359296
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40140
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
308212
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
40131401324013340134401354013640137401384013940140