Displaying 57891-57900 of 1611142 results.
ID:
57891
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
198012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57892
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797113
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
57893
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
2399904
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
57894
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098141
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57895
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098134
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57896
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
577033
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
57897
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
995624
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57898
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
2266506
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
57899
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
857336
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57900
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
857321
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
57891578925789357894578955789657897578985789957900