Displaying 66001-66010 of 1611142 results.
ID:
66001
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
308714
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
66002
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
755497
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66003
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
992765
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66004
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
630208
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
66005
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
245314
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
66006
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
485968
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66007
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
991061
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66008
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
857683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66009
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66010
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198202
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
66001660026600366004660056600666007660086600966010