Displaying 67401-67410 of 1611142 results.
ID:
67401
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198105
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67402
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198104
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67403
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1662285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67404
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
205329
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
67405
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
205330
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
67406
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
205331
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
67407
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
999967
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67408
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
999996
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67409
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
999986
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67410
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000001
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
67401674026740367404674056740667407674086740967410