Displaying 69121-69130 of 1611142 results.
ID:
69121
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1359129
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69122
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
485440
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
69123
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860157
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
69124
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860129
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
69125
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860137
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
69126
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860148
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
69127
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
835894
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69128
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
835925
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69129
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
241834
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69130
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1368954
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
69121691226912369124691256912669127691286912969130