Displaying 66141-66150 of 1611142 results.
ID:
66141
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66142
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198077
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66143
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198078
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66144
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66145
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
313472
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
66146
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198153
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66147
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
905269
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66148
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
905283
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66149
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198152
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66150
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
312615
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
66141661426614366144661456614666147661486614966150