Displaying 68501-68510 of 1611142 results.
ID:
68501
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197944
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68502
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659929
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68503
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2102705
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68504
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058906
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68505
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1872458
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
68506
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049133
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
68507
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049121
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
68508
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1855072
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
68509
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986331
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
68510
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1918230
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
68501685026850368504685056850668507685086850968510