Displaying 51121-51130 of 1611142 results.
ID:
51121
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
855812
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
51122
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665050
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51123
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665093
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51124
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51125
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665046
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51126
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091650
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51127
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091654
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51128
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235150
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51129
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235157
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51130
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
310467
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
51121511225112351124511255112651127511285112951130