Displaying 66301-66310 of 1611142 results.
ID:
66301
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809667
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66302
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
854228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
66303
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
854235
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
66304
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
854238
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
36
Qty Limit Days:
30
ID:
66305
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
854241
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
66306
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
854248
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66307
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
854245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
30
ID:
66308
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
854252
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66309
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
406503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66310
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
858262
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
66301663026630366304663056630666307663086630966310