Displaying 65811-65820 of 1611142 results.
ID:
65811
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
856706
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65812
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
856429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65813
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310670
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65814
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373483
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
7
ID:
65815
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373491
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
65816
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
856797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65817
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
866491
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65818
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65819
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197508
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65820
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197318
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
65811658126581365814658156581665817658186581965820