Displaying 40311-40320 of 1611142 results.
ID:
40311
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1539953
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40312
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1539955
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40313
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40314
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
904419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
40315
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
866436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40316
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
855633
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40317
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607784
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40318
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
199245
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
40319
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
199246
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
40320
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
199247
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
40311403124031340314403154031640317403184031940320