Displaying 67421-67430 of 1611142 results.
ID:
67421
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67422
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100079
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
67423
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918044
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
67424
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1928689
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67425
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2118741
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67426
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000019
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
67427
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1994362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
67428
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1442992
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
67429
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000023
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
67430
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000027
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
67421674226742367424674256742667427674286742967430