Displaying 57321-57330 of 1611142 results.
ID:
57321
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
314214
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
57322
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
312835
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
57323
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
314215
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
57324
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
312836
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
57325
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
311277
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
57326
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57327
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
57328
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57329
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
199655
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57330
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
349208
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
57321573225732357324573255732657327573285732957330