Displaying 69381-69390 of 1611142 results.
ID:
69381
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1593775
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
69382
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
861045
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
69383
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
861043
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
10
Qty Limit Days:
28
ID:
69384
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
206347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69385
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
801357
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69386
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
801112
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69387
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
801136
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69388
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799706
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69389
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
805131
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69390
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
801648
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
69381693826938369384693856938669387693886938969390