Displaying 54331-54340 of 1611142 results.
ID:
54331
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
197685
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54332
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
859186
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54333
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
197625
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54334
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
197626
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54335
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
197627
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54336
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
197628
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54337
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
199390
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54338
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
197553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54339
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
328160
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54340
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
310490
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
54331543325433354334543355433654337543385433954340