Displaying 66701-66710 of 1611142 results.
ID:
66701
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66702
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298910
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
66703
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298816
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
66704
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298906
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
66705
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
858613
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66706
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
858616
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66707
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66708
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1542997
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
66709
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1432969
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
66710
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
904880
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
66701667026670366704667056670666707667086670966710