Displaying 67481-67490 of 1611142 results.
ID:
67481
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658325
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
67482
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658329
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67483
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658333
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
67484
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658337
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
67485
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658341
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
67486
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
67487
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602604
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
67488
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602607
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
67489
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274816
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
67490
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2274814
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
67481674826748367484674856748667487674886748967490