Displaying 65231-65240 of 1611142 results.
ID:
65231
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197730
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65232
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65233
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
311376
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
65234
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
864761
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
ID:
65235
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
864769
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
600
Qty Limit Days:
30
ID:
65236
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
315187
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65237
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
856724
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65238
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
856733
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65239
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
309371
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65240
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197577
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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