Displaying 66181-66190 of 1611142 results.
ID:
66181
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546083
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
66182
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66183
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1796096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66184
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862688
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66185
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862701
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66186
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862697
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66187
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862692
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66188
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1037181
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66189
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1037049
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66190
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
991082
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
66181661826618366184661856618666187661886618966190