Displaying 65341-65350 of 1611142 results.
ID:
65341
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
727705
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65342
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1655728
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65343
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
825170
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65344
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801278
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65345
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
847741
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
65346
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
835892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65347
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2056897
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65348
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
746609
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
65349
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
845518
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
65350
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
845512
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
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