Displaying 54161-54170 of 1611142 results.
ID:
54161
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1994362
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
54162
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442992
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
54163
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000023
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
54164
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000027
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
54165
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000031
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
54166
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300386
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54167
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
829989
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54168
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
830552
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54169
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
830557
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54170
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
803371
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
54161541625416354164541655416654167541685416954170