Displaying 58241-58250 of 1611142 results.
ID:
58241
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055014
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
58242
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197701
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58243
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
310433
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
58244
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
310434
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
58245
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
403966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58246
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
403967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58247
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1358776
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58248
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
309367
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58249
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
198014
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58250
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
311753
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
58241582425824358244582455824658247582485824958250