Displaying 62641-62650 of 1611142 results.
ID:
62641
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
239209
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62642
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807518
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62643
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860139
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62644
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
800192
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62645
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665021
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62646
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
309090
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62647
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
309092
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62648
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665005
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62649
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
311683
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62650
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
62641626426264362644626456264662647626486264962650