Displaying 65401-65410 of 1611142 results.
ID:
65401
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121100
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65402
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2390954
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
65403
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
545293
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65404
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
207029
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65405
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
665022
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65406
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720881
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65407
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65408
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
207035
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65409
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
261101
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65410
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
847232
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
65401654026540365404654056540665407654086540965410