Displaying 63741-63750 of 1611142 results.
ID:
63741
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
749848
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63742
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
753544
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63743
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
750244
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63744
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806177
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
63745
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806185
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
63746
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2468058
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63747
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2471314
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63748
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
748962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63749
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
831533
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63750
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
63741637426374363744637456374663747637486374963750