Displaying 64091-64100 of 1611142 results.
ID:
64091
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197627
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64092
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197628
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64093
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
199390
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64094
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197553
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64095
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
328160
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64096
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
310490
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
64097
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
310488
NDC:
Tier Level:
6
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
64098
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
993687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64099
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
993691
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64100
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
903887
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
64091640926409364094640956409664097640986409964100