Displaying 56401-56410 of 1611142 results.
ID:
56401
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
403810
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
56402
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
403811
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
56403
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806195
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56404
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806179
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
56405
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806183
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56406
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
308191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56407
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
199119
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56408
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
864110
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56409
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
854302
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56410
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1793916
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
56401564025640356404564055640656407564085640956410