Displaying 63951-63960 of 1611142 results.
ID:
63951
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
903841
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
63952
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
63953
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049504
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
63954
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049545
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
63955
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049565
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
63956
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049576
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
63957
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049586
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
63958
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049595
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
63959
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049601
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
63960
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1544404
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
63951639526395363954639556395663957639586395963960