Displaying 47851-47860 of 1611142 results.
ID:
47851
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797865
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
34
Qty Limit Days:
28
ID:
47852
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797867
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
25
ID:
47853
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
860107
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
25
ID:
47854
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
904481
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47855
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
617312
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47856
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
617310
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47857
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
617311
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47858
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
310818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47859
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
259255
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47860
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
905028
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
47851478524785347854478554785647857478584785947860