Displaying 64951-64960 of 1611142 results.
ID:
64951
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283509
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
64952
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283513
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
64953
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283538
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64954
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283536
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64955
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2283540
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64956
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
311944
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64957
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999314
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64958
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999316
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
64959
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058520
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
64960
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058525
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
64951649526495364954649556495664957649586495964960