Displaying 57421-57430 of 1611142 results.
ID:
57421
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
830557
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57422
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
803371
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57423
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300810
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57424
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
798430
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57425
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
798428
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57426
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986830
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
365
ID:
57427
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
798482
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57428
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
798479
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57429
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300378
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57430
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300370
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
57421574225742357424574255742657427574285742957430