Displaying 66861-66870 of 1611142 results.
ID:
66861
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1053753
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66862
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006688
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66863
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
861434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66864
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197785
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66865
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197803
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66866
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
861490
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66867
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
798133
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66868
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
884520
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
66869
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
755470
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66870
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
544452
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
66861668626686366864668656686666867668686686966870