Displaying 52051-52060 of 1611142 results.
ID:
52051
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
207834
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52052
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1718936
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
52053
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1745114
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52054
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
729234
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52055
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
582971
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52056
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
582976
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52057
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1435117
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
52058
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
351859
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
52059
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1731317
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
28
ID:
52060
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
643177
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
52051520525205352054520555205652057520585205952060