Displaying 56331-56340 of 1611142 results.
ID:
56331
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197383
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56332
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197382
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56333
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56334
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
603378
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56335
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190225
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
56336
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
580261
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56337
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
28
ID:
56338
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1552004
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
56339
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723478
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
56340
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430453
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
56331563325633356334563355633656337563385633956340