Displaying 58541-58550 of 1611142 results.
ID:
58541
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
58542
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058887
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
58543
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
58544
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2170613
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
ID:
58545
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
58546
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2370170
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
58547
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047247
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58548
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2256947
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
58549
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946836
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
58550
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2256943
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
58541585425854358544585455854658547585485854958550