Displaying 64771-64780 of 1611142 results.
ID:
64771
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
859033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64772
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
859040
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64773
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
859052
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64774
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
855642
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
64775
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
312504
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64776
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
313291
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64777
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245919
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64778
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242786
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64779
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
200329
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64780
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
864681
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
64771647726477364774647756477664777647786477964780