Displaying 65251-65260 of 1611142 results.
ID:
65251
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
105585
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65252
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197931
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65253
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
312617
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65254
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65255
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198146
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65256
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
213272
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65257
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
207100
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65258
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
804547
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65259
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307630
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
65260
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307635
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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