Displaying 63801-63810 of 1611142 results.
ID:
63801
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099691
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
63802
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099697
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
63803
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1313785
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63804
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
207588
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63805
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
213510
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63806
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63807
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
199148
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63808
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
311787
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63809
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1605088
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63810
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197511
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
63801638026380363804638056380663807638086380963810