Displaying 65071-65080 of 1611142 results.
ID:
65071
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
799830
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65072
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1045408
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65073
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1045404
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65074
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364441
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
65075
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364447
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
65076
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1145932
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65077
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799230
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65078
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1925255
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65079
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1925257
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65080
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1598989
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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