Displaying 40781-40790 of 1611142 results.
ID:
40781
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486687
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40782
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
197797
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40783
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
197726
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40784
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
860225
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40785
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430383
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40786
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1440185
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40787
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2107008
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40788
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1550536
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40789
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2104192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
40790
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1994764
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
40781407824078340784407854078640787407884078940790