Displaying 66801-66810 of 1611142 results.
ID:
66801
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
582984
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66802
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122661
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66803
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122659
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66804
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122657
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66805
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122655
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66806
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66807
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122648
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66808
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2122642
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66809
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2477272
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66810
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
795749
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
66801668026680366804668056680666807668086680966810