Displaying 58691-58700 of 1611142 results.
ID:
58691
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797833
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
58692
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797844
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
10
ID:
58693
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
885857
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58694
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
860901
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
200
Qty Limit Days:
30
ID:
58695
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
351265
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
58696
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
351266
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
58697
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
351267
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
58698
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
905172
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58699
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
905168
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
58700
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
892589
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
700
Qty Limit Days:
30
58691586925869358694586955869658697586985869958700