Displaying 60851-60860 of 1611142 results.
ID:
60851
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60852
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
857700
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
60853
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60854
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111339
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60855
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
860805
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60856
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111343
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60857
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
284008
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
60858
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
313919
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
60859
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797865
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
34
Qty Limit Days:
28
ID:
60860
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797867
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
25
60851608526085360854608556085660857608586085960860