Displaying 50781-50790 of 1611142 results.
ID:
50781
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1304985
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
50782
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1811182
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
50783
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50784
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
313096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50785
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
318179
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50786
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
283535
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50787
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
198222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50788
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
198150
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50789
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
96304
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
50790
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
998689
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
50781507825078350784507855078650787507885078950790