Displaying 65831-65840 of 1611142 results.
ID:
65831
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
998675
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
65832
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
998679
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
65833
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000048
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65834
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
876524
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65835
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
876514
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65836
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
876529
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65837
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
876519
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65838
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
312593
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65839
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
966220
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65840
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
966221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
65831658326583365834658356583665837658386583965840