Displaying 67871-67880 of 1611142 results.
ID:
67871
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807632
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67872
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795609
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67873
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795477
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67874
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
581531
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67875
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371050
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
67876
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371054
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
67877
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371058
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
67878
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371062
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
67879
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371066
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
67880
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482513
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
67871678726787367874678756787667877678786787967880