Displaying 65301-65310 of 1611142 results.
ID:
65301
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047623
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
65302
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2463737
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
65303
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2463733
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
65304
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65305
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
65306
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65307
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
65308
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
65309
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168540
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65310
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
207088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
65301653026530365304653056530665307653086530965310