Displaying 65471-65480 of 1611142 results.
ID:
65471
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
757707
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65472
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
403957
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65473
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
636664
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65474
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65475
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
65476
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
861960
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65477
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
905032
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65478
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1090996
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65479
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197595
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65480
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
65471654726547365474654756547665477654786547965480