Displaying 66101-66110 of 1611142 results.
ID:
66101
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310149
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
4
ID:
66102
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000673
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66103
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
284254
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66104
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197900
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
66105
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
66106
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197902
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
66107
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
311386
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66108
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
311385
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66109
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
314075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66110
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310812
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
66101661026610366104661056610666107661086610966110