Displaying 57381-57390 of 1611142 results.
ID:
57381
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
861132
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
57382
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
310352
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57383
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
310353
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57384
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
200257
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
57385
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
200256
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
57386
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
200258
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
57387
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
313582
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57388
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
313584
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57389
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
314277
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57390
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
313586
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
57381573825738357384573855738657387573885738957390