Displaying 57991-58000 of 1611142 results.
ID:
57991
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
251872
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
57992
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
314200
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
57993
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
349483
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57994
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
349199
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57995
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
349200
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57996
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
200224
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57997
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
898350
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57998
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
898353
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
57999
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
898356
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58000
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
898359
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
57991579925799357994579955799657997579985799958000