Displaying 53741-53750 of 1611142 results.
ID:
53741
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870207
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
53742
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1374574
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
53743
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2003255
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53744
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2198370
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
53745
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
865208
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
53746
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
865212
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
53747
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
865216
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
53748
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
723827
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53749
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
729201
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
53750
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
729203
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
53741537425374353744537455374653747537485374953750