Displaying 66681-66690 of 1611142 results.
ID:
66681
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790175
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66682
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790167
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66683
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790171
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66684
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1928941
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
66685
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197703
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66686
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300783
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66687
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
831261
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66688
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
829500
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66689
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
861025
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
765
Qty Limit Days:
30
ID:
66690
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
881341
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
66681666826668366684666856668666687666886668966690