Displaying 57491-57500 of 1611142 results.
ID:
57491
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
643714
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
57492
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1429367
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
57493
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
643722
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
57494
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369724
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
57495
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369728
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
57496
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369732
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
57497
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369736
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
57498
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940376
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
57499
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940372
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
57500
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
2197501
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
57491574925749357494574955749657497574985749957500