Displaying 67221-67230 of 1611142 results.
ID:
67221
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
831533
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67222
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
993943
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
67223
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
994239
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
67224
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
312138
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67225
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1012904
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67226
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010696
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67227
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
312839
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
67228
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
312837
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
67229
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091341
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
900
Qty Limit Days:
30
ID:
67230
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359124
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
67221672226722367224672256722667227672286722967230