Displaying 60861-60870 of 1611142 results.
ID:
60861
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
860107
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
25
ID:
60862
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
904481
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60863
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
617312
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60864
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
617310
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60865
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
617311
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60866
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
310818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60867
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
259255
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60868
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
905028
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
60869
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
905024
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
60870
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
577208
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
60861608626086360864608656086660867608686086960870