Displaying 48771-48780 of 1611142 results.
ID:
48771
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364494
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
48772
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648772
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
48773
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046597
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
228
Qty Limit Days:
14
ID:
48774
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989117
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
48775
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178792
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
48776
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
644304
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48777
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
861659
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48778
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
861661
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48779
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
861663
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48780
Formulary ID:
00021016
Formulary Version:
14
Contract Year:
2021
RXCUI:
545278
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
48771487724877348774487754877648777487784877948780