Displaying 58121-58130 of 1611142 results.
ID:
58121
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
311289
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58122
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
387003
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58123
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
807832
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58124
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
846378
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58125
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
309112
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58126
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
309114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58127
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
313570
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
30
ID:
58128
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
30
ID:
58129
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58130
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
309048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
58121581225812358124581255812658127581285812958130