Displaying 64431-64440 of 1611142 results.
ID:
64431
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
856666
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
64432
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
979115
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
64433
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244062
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
28
ID:
64434
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244064
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
11
Qty Limit Days:
28
ID:
64435
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1596778
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64436
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673274
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
64437
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673278
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
64438
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673280
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
64439
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1925264
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
56
ID:
64440
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049343
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
365
64431644326443364434644356443664437644386443964440