Displaying 69161-69170 of 1611142 results.
ID:
69161
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1362720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69162
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
308865
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
69163
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
828379
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69164
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860154
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
69165
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860151
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
69166
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860127
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
69167
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
856448
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69168
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
856457
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69169
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
856519
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69170
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
856578
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
69161691626916369164691656916669167691686916969170