Displaying 56861-56870 of 1611142 results.
ID:
56861
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
312750
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56862
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
312748
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56863
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
312079
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
56864
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
208185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56865
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
56866
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
403908
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56867
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
198038
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56868
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
198039
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56869
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
198040
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56870
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010600
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
56861568625686356864568655686656867568685686956870