Displaying 62251-62260 of 1611142 results.
ID:
62251
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
349094
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62252
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
351109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62253
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098666
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62254
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098678
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62255
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
904467
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62256
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
904475
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62257
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490065
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62258
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
199058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62259
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
596843
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
62260
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
308868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
62251622526225362254622556225662257622586225962260