Displaying 65861-65870 of 1611142 results.
ID:
65861
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
403922
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
65862
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
402109
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65863
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
834235
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65864
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
834241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65865
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
359144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65866
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
359145
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65867
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65868
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298088
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
65869
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65870
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
242892
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
65861658626586365864658656586665867658686586965870