Displaying 33051-33060 of 1611142 results.
ID:
33051
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
314055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33052
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1655960
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33053
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
859824
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33054
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
309101
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33055
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
835840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33056
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
835809
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
33057
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649988
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33058
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
308189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33059
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
313797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
33060
Formulary ID:
00021010
Formulary Version:
14
Contract Year:
2021
RXCUI:
239191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
33051330523305333054330553305633057330583305933060