Displaying 64901-64910 of 1611142 results.
ID:
64901
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049121
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
64902
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1855072
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
64903
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986331
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
64904
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918230
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
64905
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054269
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64906
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
432400
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
64907
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
64908
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1944382
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
64909
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1944376
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
64910
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921081
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
64901649026490364904649056490664907649086490964910