Displaying 52921-52930 of 1611142 results.
ID:
52921
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433235
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
52922
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1433241
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
52923
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307309
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
52924
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052609
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52925
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2052704
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52926
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105817
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
52927
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300797
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52928
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300803
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52929
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
967388
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
52930
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
307730
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
52921529225292352924529255292652927529285292952930