Displaying 61801-61810 of 1611142 results.
ID:
61801
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946836
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
61802
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2256943
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
61803
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205474
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61804
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946840
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
61805
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946844
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
61806
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1946848
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
61807
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
207834
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61808
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1718936
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
61809
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1745114
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61810
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
729234
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
61801618026180361804618056180661807618086180961810