Displaying 69061-69070 of 1611142 results.
ID:
69061
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
855288
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69062
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
855302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69063
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
855312
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69064
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
855318
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69065
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
855324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69066
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
855338
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69067
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
855296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69068
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
855332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69069
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
855344
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69070
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
242461
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
69061690626906369064690656906669067690686906969070