Displaying 65731-65740 of 1611142 results.
ID:
65731
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197541
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
65732
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
753478
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65733
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
753479
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65734
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1428933
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65735
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091828
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65736
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
351173
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65737
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
351174
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65738
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
351175
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65739
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
794639
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
65740
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
616578
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
65731657326573365734657356573665737657386573965740