Displaying 62611-62620 of 1611142 results.
ID:
62611
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
857005
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
62612
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
856999
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
62613
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
993781
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
62614
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049221
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
62615
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049225
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
62616
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049214
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
62617
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
62618
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
62619
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806181
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
62620
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806197
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
62611626126261362614626156261662617626186261962620