Displaying 56901-56910 of 1611142 results.
ID:
56901
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
309072
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56902
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
863538
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56903
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665507
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56904
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56905
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
56906
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56907
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
56908
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56909
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085633
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
56910
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085636
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
56901569025690356904569055690656907569085690956910