Displaying 67901-67910 of 1611142 results.
ID:
67901
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
866111
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67902
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198252
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67903
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649593
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
67904
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1546189
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
67905
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2261794
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
67906
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67907
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
858804
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67908
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
794641
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67909
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
902624
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
67910
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
902626
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
67901679026790367904679056790667907679086790967910