Displaying 61351-61360 of 1611142 results.
ID:
61351
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
898715
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
61352
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
282755
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61353
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
205304
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61354
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
205305
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61355
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
409823
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61356
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
892582
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
61357
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
892672
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
61358
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923822
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61359
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923828
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61360
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923826
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
61351613526135361354613556135661357613586135961360