Displaying 65371-65380 of 1611142 results.
ID:
65371
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
867506
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
65372
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425230
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
65373
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1425228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
65374
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245003
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
65375
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
825425
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65376
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
825429
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
65377
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
884619
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
65378
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121061
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
65379
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1656356
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65380
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1859501
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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