Displaying 55701-55710 of 1611142 results.
ID:
55701
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
598025
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55702
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
617309
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55703
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
617316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55704
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
617296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55705
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
636664
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55706
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55707
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
55708
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
861960
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
55709
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
905032
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
55710
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1090996
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
55701557025570355704557055570655707557085570955710