Displaying 67491-67500 of 1611142 results.
ID:
67491
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044355
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
67492
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044357
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
67493
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044969
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
67494
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044967
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
67495
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044971
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
67496
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649961
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
67497
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1550946
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67498
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
213360
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67499
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
404449
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67500
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
700418
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
67491674926749367494674956749667497674986749967500