Displaying 59871-59880 of 1611142 results.
ID:
59871
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
863636
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59872
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
863619
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59873
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
863628
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59874
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
314080
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59875
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190655
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59876
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
545236
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59877
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1724340
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59878
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
312075
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59879
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
308345
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59880
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
197636
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
59871598725987359874598755987659877598785987959880