Displaying 68481-68490 of 1611142 results.
ID:
68481
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1798375
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
68482
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
200132
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
68483
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
199149
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
68484
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
199150
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
68485
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
311915
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68486
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1725064
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
68487
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001439
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
68488
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437713
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68489
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918242
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
68490
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1862595
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
68481684826848368484684856848668487684886848968490