Displaying 67101-67110 of 1611142 results.
ID:
67101
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1739788
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
67102
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1149617
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
67103
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
213197
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
67104
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
997010
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
7
ID:
67105
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
861353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67106
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
866427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67107
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
866412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67108
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
866419
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67109
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67110
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198035
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
67101671026710367104671056710667107671086710967110