Displaying 47971-47980 of 1611142 results.
ID:
47971
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
643019
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
47972
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
643022
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
47973
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
866482
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47974
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
866479
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47975
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47976
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47977
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
47978
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
47979
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
47980
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
47971479724797347974479754797647977479784797947980