Displaying 65161-65170 of 1611142 results.
ID:
65161
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
861637
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65162
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
861206
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65163
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
904170
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65164
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
854859
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65165
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1859000
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65166
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604544
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
28
ID:
65167
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2002420
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
65168
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923338
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65169
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65170
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876406
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
65161651626516365164651656516665167651686516965170