Displaying 65311-65320 of 1611142 results.
ID:
65311
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049858
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
65312
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049862
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
65313
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1855527
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65314
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921240
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65315
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65316
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1726846
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65317
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
847745
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
65318
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1872980
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65319
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747577
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
65320
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747579
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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