Displaying 59461-59470 of 1611142 results.
ID:
59461
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
313159
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
59462
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
197516
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59463
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
197517
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59464
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
996740
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
59465
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
311369
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
59466
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482908
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59467
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806187
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
59468
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806189
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
59469
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806191
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
59470
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806193
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
59461594625946359464594655946659467594685946959470