Displaying 67501-67510 of 1611142 results.
ID:
67501
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
404450
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67502
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242233
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
67503
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
616116
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
67504
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
616114
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
67505
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
643714
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
67506
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1429367
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
67507
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
643722
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
67508
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369724
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
67509
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369728
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
67510
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369732
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
67501675026750367504675056750667507675086750967510