Displaying 64741-64750 of 1611142 results.
ID:
64741
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649401
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64742
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054979
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
64743
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054983
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
64744
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055016
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
64745
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055014
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
64746
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
197701
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64747
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
310433
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
64748
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
310434
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
64749
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
403966
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64750
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
403967
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
64741647426474364744647456474664747647486474964750