Displaying 55681-55690 of 1611142 results.
ID:
55681
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923424
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55682
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
904589
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55683
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
894859
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55684
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
866042
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55685
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
855288
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55686
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
855302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55687
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
855312
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55688
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
855318
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55689
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
855324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55690
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
855338
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
55681556825568355684556855568655687556885568955690