Displaying 40191-40200 of 1611142 results.
ID:
40191
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
991044
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40192
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
991188
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40193
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
584414
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
40194
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
857297
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40195
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
857301
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40196
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
857305
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40197
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1596780
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
40198
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
855292
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40199
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
855306
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40200
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
855316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
40191401924019340194401954019640197401984019940200