Displaying 69281-69290 of 1611142 results.
ID:
69281
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648789
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
69282
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1945048
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
69283
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045382
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
69284
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2109239
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69285
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2170993
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
69286
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2173822
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
69287
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395775
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
69288
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
249066
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69289
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
207840
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69290
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2178081
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
69281692826928369284692856928669287692886928969290