Displaying 65271-65280 of 1611142 results.
ID:
65271
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
810079
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65272
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2284108
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
65273
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2057205
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65274
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2057216
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65275
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2057212
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65276
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2057219
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65277
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099952
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
65278
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105860
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
65279
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2469340
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65280
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
637188
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
336
Qty Limit Days:
365
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