Displaying 65041-65050 of 1611142 results.
ID:
65041
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551300
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
65042
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551306
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
65043
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058877
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
65044
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1745108
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65045
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395779
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
65046
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058887
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
65047
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2370174
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
65048
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2170613
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
30
ID:
65049
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2395785
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
65050
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2370170
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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