Displaying 57461-57470 of 1611142 results.
ID:
57461
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544394
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57462
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544396
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57463
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544398
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57464
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544402
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57465
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659818
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
57466
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659814
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
57467
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658325
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
57468
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658329
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
57469
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658333
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
57470
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658337
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
57461574625746357464574655746657467574685746957470