Displaying 69781-69790 of 1611142 results.
ID:
69781
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1592752
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
69782
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243033
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
69783
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243040
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
69784
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243026
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
69785
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545664
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
69786
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545668
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
69787
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1651275
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
69788
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664321
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
69789
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667882
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
69790
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665369
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
69781697826978369784697856978669787697886978969790