Displaying 65901-65910 of 1611142 results.
ID:
65901
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310404
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65902
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65903
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
284191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65904
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
359697
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65905
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65906
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65907
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65908
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65909
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65910
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
577057
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
65901659026590365904659056590665907659086590965910