Displaying 65931-65940 of 1611142 results.
ID:
65931
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
897702
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
65932
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
897710
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
65933
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
864706
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
65934
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049611
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
65935
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049618
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
65936
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
884535
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
65937
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
884532
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
65938
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
245136
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
65939
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
245134
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
ID:
65940
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
245135
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
30
65931659326593365934659356593665937659386593965940