Displaying 66891-66900 of 1611142 results.
ID:
66891
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200177
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66892
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200180
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66893
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200183
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66894
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2167575
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66895
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2167563
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66896
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2167567
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66897
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2167571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66898
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648755
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66899
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
725021
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66900
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
725023
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
66891668926689366894668956689666897668986689966900