Displaying 65201-65210 of 1611142 results.
ID:
65201
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
351267
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
65202
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
905172
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65203
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
905168
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65204
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
892589
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
700
Qty Limit Days:
30
ID:
65205
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
894780
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
65206
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
997287
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
65207
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
997296
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
65208
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310792
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65209
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310793
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65210
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
835589
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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