Displaying 66041-66050 of 1611142 results.
ID:
66041
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
835913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66042
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66043
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
995232
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66044
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
977883
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66045
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197863
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66046
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197556
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66047
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197554
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66048
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197555
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66049
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
856369
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66050
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1009145
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
66041660426604366044660456604666047660486604966050