Displaying 59741-59750 of 1611142 results.
ID:
59741
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
59742
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
59743
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59744
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59745
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
996615
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
59746
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
996594
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
59747
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
996603
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
59748
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
996609
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
59749
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1540356
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59750
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
992475
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
59741597425974359744597455974659747597485974959750