Displaying 58421-58430 of 1611142 results.
ID:
58421
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607796
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58422
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607792
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58423
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1992873
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
58424
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
2119706
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
58425
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
349287
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58426
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
1927682
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
14
ID:
58427
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
313362
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58428
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
313364
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58429
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
313361
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58430
Formulary ID:
00021020
Formulary Version:
14
Contract Year:
2021
RXCUI:
197558
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
58421584225842358424584255842658427584285842958430