Displaying 54221-54230 of 1611142 results.
ID:
54221
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602604
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
54222
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602607
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
54223
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274816
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
54224
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274814
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
54225
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044355
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
54226
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044357
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
54227
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044969
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
54228
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044967
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
54229
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044971
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
54230
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649961
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
54221542225422354224542255422654227542285422954230