Displaying 54691-54700 of 1611142 results.
ID:
54691
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
283485
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54692
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
756209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54693
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
311943
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54694
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
313850
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54695
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
313222
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54696
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
861743
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54697
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
861748
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54698
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
861753
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54699
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
309076
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54700
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
309078
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
54691546925469354694546955469654697546985469954700