Displaying 66901-66910 of 1611142 results.
ID:
66901
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
311994
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
66902
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
311995
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
66903
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648759
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
66904
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
903847
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66905
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307061
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66906
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115698
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
180
ID:
66907
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1308569
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66908
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
351209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66909
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66910
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197623
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
66901669026690366904669056690666907669086690966910