Displaying 54851-54860 of 1611142 results.
ID:
54851
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
409823
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54852
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
892582
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
54853
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
54854
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923822
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54855
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923828
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54856
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923826
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
54857
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
54858
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
54859
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490038
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
54860
Formulary ID:
00021018
Formulary Version:
14
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
54851548525485354854548555485654857548585485954860