Displaying 69641-69650 of 1611142 results.
ID:
69641
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482908
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69642
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806187
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
69643
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806189
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
69644
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806191
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
69645
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806193
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
69646
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
905369
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
69647
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
311166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69648
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197832
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69649
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
349196
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
69650
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
349197
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
69641696426964369644696456964669647696486964969650