Displaying 66111-66120 of 1611142 results.
ID:
66111
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
861427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66112
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197653
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66113
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
991086
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66114
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
314006
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66115
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
315107
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66116
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310489
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66117
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
250344
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66118
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
722122
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66119
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
722116
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66120
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
66111661126611366114661156611666117661186611966120