Displaying 48801-48810 of 1611142 results.
ID:
48801
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1745114
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48802
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
729234
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48803
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
582971
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48804
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
582976
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
48805
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1435117
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
48806
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
351859
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
48807
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1731317
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
48808
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
643177
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
48809
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
643173
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
48810
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
643175
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
48801488024880348804488054880648807488084880948810