Displaying 53381-53390 of 1611142 results.
ID:
53381
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365847
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53382
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365850
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53383
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1090641
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53384
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
905222
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53385
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
897683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53386
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
314184
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53387
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
310537
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53388
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
897722
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53389
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
197942
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53390
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
197941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
53381533825338353384533855338653387533885338953390