Displaying 55901-55910 of 1611142 results.
ID:
55901
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
207840
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55902
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178081
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55903
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178077
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55904
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
311671
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55905
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
995278
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55906
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
995253
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55907
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
198228
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55908
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
852913
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55909
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
993536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
55910
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
852877
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
55901559025590355904559055590655907559085590955910