Displaying 65791-65800 of 1611142 results.
ID:
65791
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
856720
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65792
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197505
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65793
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65794
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298857
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65795
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197464
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
65796
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
856840
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65797
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65798
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197437
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65799
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65800
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197439
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
65791657926579365794657956579665797657986579965800