Displaying 63701-63710 of 1611142 results.
ID:
63701
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197853
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63702
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
858813
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63703
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
858817
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63704
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
858810
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63705
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
308973
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63706
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
858824
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63707
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
858828
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63708
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
308976
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63709
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
834348
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63710
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
310379
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
63701637026370363704637056370663707637086370963710