Displaying 65361-65370 of 1611142 results.
ID:
65361
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364118
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
65362
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364122
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
65363
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653243
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65364
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1599797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65365
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603361
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65366
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603365
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65367
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1603369
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65368
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1656346
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65369
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425110
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
65370
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425118
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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