Displaying 65131-65140 of 1611142 results.
ID:
65131
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
835721
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65132
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1046920
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1008
Qty Limit Days:
90
ID:
65133
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
404457
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65134
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
404458
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65135
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
404459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65136
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1549456
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65137
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1549454
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65138
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
205562
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65139
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
763489
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65140
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
996559
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
65131651326513365134651356513665137651386513965140