Displaying 67051-67060 of 1611142 results.
ID:
67051
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010739
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67052
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
391937
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67053
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197305
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67054
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
313786
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67055
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
212787
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67056
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1312408
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
67057
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439894
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
67058
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439896
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
67059
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439899
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
67060
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1439901
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
67051670526705367054670556705667057670586705967060