Displaying 1061-1070 of 1611142 results.
ID:
1061
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1592752
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1062
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243033
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1063
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243040
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1064
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243026
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1065
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545664
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
1066
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545668
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
1067
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1651275
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
1068
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664321
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
1069
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667882
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
1070
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665369
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
1061106210631064106510661067106810691070