Displaying 65641-65650 of 1611142 results.
ID:
65641
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197589
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
65642
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197391
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65643
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197392
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65644
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
597852
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65645
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
597850
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65646
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310273
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65647
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
284245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65648
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
835886
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65649
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
866049
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
65650
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
896019
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
65641656426564365644656456564665647656486564965650