Displaying 69081-69090 of 1611142 results.
ID:
69081
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
617316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69082
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
617296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69083
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
757707
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
69084
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
403957
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
69085
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
636664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69086
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
608328
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69087
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148141
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
30
ID:
69088
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
861960
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
69089
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
905032
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
69090
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1090996
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
69081690826908369084690856908669087690886908969090