Displaying 69401-69410 of 1611142 results.
ID:
69401
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197465
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
69402
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197466
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
69403
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
856720
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69404
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197505
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69405
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
198286
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69406
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1298857
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69407
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197464
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
69408
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
856840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69409
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197436
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69410
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197437
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
69401694026940369404694056940669407694086940969410