Displaying 69301-69310 of 1611142 results.
ID:
69301
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
852877
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69302
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197979
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69303
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197978
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69304
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1246306
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
69305
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1246290
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
69306
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1666334
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69307
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1116639
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69308
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1872261
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69309
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055008
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69310
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
991233
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
69301693026930369304693056930669307693086930969310