Displaying 65101-65110 of 1611142 results.
ID:
65101
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547118
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65102
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235595
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65103
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1235591
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65104
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
668606
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65105
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
861821
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
65106
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
861771
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
65107
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729311
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
65108
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055766
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65109
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1734642
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65110
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988671
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
65101651026510365104651056510665107651086510965110