Displaying 54751-54760 of 1611142 results.
ID:
54751
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
863669
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54752
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
313581
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
54753
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
402246
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54754
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
402247
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54755
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
664741
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54756
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
833528
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54757
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
722134
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54758
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
722137
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54759
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
722126
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54760
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
722131
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
54751547525475354754547555475654757547585475954760