Displaying 64501-64510 of 1611142 results.
ID:
64501
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
898350
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64502
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
898353
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64503
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
898356
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64504
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
898359
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64505
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
898342
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64506
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
898346
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64507
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
863669
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64508
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
313581
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
64509
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
402246
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64510
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
402247
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
64501645026450364504645056450664507645086450964510