Displaying 55791-55800 of 1611142 results.
ID:
55791
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
351133
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55792
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
313979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55793
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
834127
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55794
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
141935
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55795
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
849385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55796
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
861848
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55797
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
859835
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55798
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
905273
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55799
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55800
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
312036
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
55791557925579355794557955579655797557985579955800