Displaying 67991-68000 of 1611142 results.
ID:
67991
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1673280
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
67992
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1925264
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
56
ID:
67993
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049343
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
365
ID:
67994
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
312941
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67995
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
312938
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67996
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
308194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67997
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
308182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67998
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
283406
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67999
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
283407
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68000
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
283485
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
67991679926799367994679956799667997679986799968000