Displaying 66311-66320 of 1611142 results.
ID:
66311
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310023
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66312
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
403890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66313
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197549
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66314
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197550
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66315
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102717
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66316
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102713
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66317
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102715
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66318
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2475840
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
560
Qty Limit Days:
28
ID:
66319
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2107621
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
66320
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
348506
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
66311663126631366314663156631666317663186631966320