Displaying 47041-47050 of 1611142 results.
ID:
47041
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47042
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47043
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47044
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
829500
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47045
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
861025
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
765
Qty Limit Days:
30
ID:
47046
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
881341
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47047
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
199690
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47048
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
197417
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47049
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
197418
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47050
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
197419
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
47041470424704347044470454704647047470484704947050