Displaying 64761-64770 of 1611142 results.
ID:
64761
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
349594
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
64762
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
349595
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
64763
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
608143
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
64764
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
608139
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
64765
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
897659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64766
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
897640
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64767
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
855480
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64768
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
855474
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64769
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
749860
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64770
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1094543
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
64761647626476364764647656476664767647686476964770