Displaying 57871-57880 of 1611142 results.
ID:
57871
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
309952
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57872
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197622
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57873
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
309955
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57874
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
57875
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
30
ID:
57876
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1440936
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57877
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
309077
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57878
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
313428
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57879
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
242680
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57880
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
205292
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
57871578725787357874578755787657877578785787957880