Displaying 51321-51330 of 1611142 results.
ID:
51321
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722934
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51322
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51323
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795609
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51324
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51325
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
581531
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
51326
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371050
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
51327
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371054
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
51328
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371058
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
51329
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371062
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
51330
Formulary ID:
00021017
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371066
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
51321513225132351324513255132651327513285132951330