Displaying 65321-65330 of 1611142 results.
ID:
65321
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747567
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
65322
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1747580
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65323
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921017
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65324
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921010
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65325
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65326
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65327
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2166143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65328
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2196900
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65329
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873087
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65330
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940709
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
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