Displaying 65211-65220 of 1611142 results.
ID:
65211
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
477234
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65212
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
199519
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65213
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65214
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437968
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65215
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65216
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
897657
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
65217
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049604
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1300
Qty Limit Days:
30
ID:
65218
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1874559
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65219
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1874553
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65220
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
900575
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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