Displaying 58681-58690 of 1611142 results.
ID:
58681
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
150840
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58682
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
208949
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58683
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
202301
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58684
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000491
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58685
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000497
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58686
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000499
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58687
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000500
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58688
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000487
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58689
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653579
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58690
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
198148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
58681586825868358684586855868658687586885868958690