Displaying 65221-65230 of 1611142 results.
ID:
65221
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
977427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65222
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
977434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65223
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
977438
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65224
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
892625
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
65225
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
311355
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65226
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197893
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65227
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
313932
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65228
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
309843
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
65229
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190568
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65230
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797907
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
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