Displaying 69861-69870 of 1611142 results.
ID:
69861
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
828755
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69862
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
828539
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69863
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
545835
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69864
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
645884
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69865
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
757968
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69866
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
754508
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
69867
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197411
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69868
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
310600
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69869
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
403850
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
69870
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
810090
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
69861698626986369864698656986669867698686986969870