Displaying 41601-41610 of 1611142 results.
ID:
41601
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
41602
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
858804
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
41603
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
794641
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
41604
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
617768
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
41605
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790892
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
41606
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790886
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
41607
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790890
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
41608
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
2384465
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
41609
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1670324
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
28
ID:
41610
Formulary ID:
00021014
Formulary Version:
14
Contract Year:
2021
RXCUI:
1670322
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
41601416024160341604416054160641607416084160941610