Displaying 67451-67460 of 1611142 results.
ID:
67451
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653225
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67452
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2182340
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67453
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2392142
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67454
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
261105
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67455
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310531
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
67456
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1310535
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
67457
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1547231
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67458
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2110618
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
67459
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67460
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
67451674526745367454674556745667457674586745967460