Displaying 68401-68410 of 1611142 results.
ID:
68401
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
825130
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68402
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
260260
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68403
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1370758
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
68404
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
311382
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68405
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
861668
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
68406
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
830795
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68407
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
831359
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68408
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68409
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68410
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
68401684026840368404684056840668407684086840968410