Displaying 58601-58610 of 1611142 results.
ID:
58601
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
861821
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
58602
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
861771
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
58603
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729311
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
58604
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055766
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58605
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1734642
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
58606
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988671
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
58607
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988675
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
58608
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1924315
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58609
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486841
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58610
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
798300
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
58601586025860358604586055860658607586085860958610