Displaying 61471-61480 of 1611142 results.
ID:
61471
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
861736
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
61472
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
861740
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
61473
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
312817
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61474
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
577315
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61475
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
577317
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61476
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
836395
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
61477
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
833234
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61478
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
905158
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61479
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
199376
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61480
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
199381
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
61471614726147361474614756147661477614786147961480