Displaying 65111-65120 of 1611142 results.
ID:
65111
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988675
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
65112
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1924315
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65113
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486841
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65114
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
798300
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65115
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
830253
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65116
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
830245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65117
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
836636
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65118
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
836634
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65119
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597099
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
365
ID:
65120
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597103
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
365
65111651126511365114651156511665117651186511965120