Displaying 64101-64110 of 1611142 results.
ID:
64101
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64102
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
903884
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64103
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64104
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
857700
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
64105
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64106
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111339
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64107
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
860805
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64108
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111343
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64109
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
284008
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
64110
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
313919
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
64101641026410364104641056410664107641086410964110