Displaying 46461-46470 of 1611142 results.
ID:
46461
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806191
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
46462
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806193
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
46463
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
905369
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
46464
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
46465
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
46466
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
46467
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
349197
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
46468
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
905516
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
46469
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
905495
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
46470
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
835913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
46461464624646346464464654646646467464684646946470