Displaying 65701-65710 of 1611142 results.
ID:
65701
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
308048
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
65702
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197321
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
65703
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
65704
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198057
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
65705
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
312134
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
65706
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198059
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
65707
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65708
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197444
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65709
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197445
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65710
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197816
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
65701657026570365704657056570665707657086570965710