Displaying 56701-56710 of 1611142 results.
ID:
56701
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721315
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56702
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56703
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1361574
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56704
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
616539
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56705
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
616541
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56706
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
317094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56707
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
349435
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56708
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
349434
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56709
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
310289
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56710
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
855858
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
56701567025670356704567055670656707567085670956710