Displaying 58141-58150 of 1611142 results.
ID:
58141
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197453
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58142
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
309110
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58143
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
309113
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58144
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
200345
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
58145
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197903
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58146
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197904
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58147
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197905
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58148
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
311353
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58149
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
311354
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58150
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197884
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
58141581425814358144581455814658147581485814958150