Displaying 67921-67930 of 1611142 results.
ID:
67921
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
977894
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67922
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
977902
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67923
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
977909
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67924
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
977915
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67925
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
309952
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67926
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197622
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67927
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
309955
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67928
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1117531
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
50
Qty Limit Days:
30
ID:
67929
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116758
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
30
ID:
67930
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
543492
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
67921679226792367924679256792667927679286792967930