Displaying 66341-66350 of 1611142 results.
ID:
66341
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049621
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
66342
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2101899
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66343
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049683
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
66344
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049686
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
66345
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091150
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
66346
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
899557
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66347
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
899518
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66348
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
899548
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66349
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091133
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
66350
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
863664
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
66341663426634366344663456634666347663486634966350