Displaying 59011-59020 of 1611142 results.
ID:
59011
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
197535
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
59012
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
310295
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
59013
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
310297
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
59014
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
313992
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
59015
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
313993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
59016
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
310293
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
59017
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
310294
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
59018
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
314000
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59019
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
310536
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59020
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
310539
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
59011590125901359014590155901659017590185901959020