Displaying 67131-67140 of 1611142 results.
ID:
67131
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1655934
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
67132
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053512
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
67133
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
904447
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
28
ID:
67134
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67135
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67136
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
861448
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67137
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
309370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67138
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
315059
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
67139
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
103457
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67140
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197407
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
67131671326713367134671356713667137671386713967140