Displaying 65381-65390 of 1611142 results.
ID:
65381
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1919094
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
65382
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169314
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
65383
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
65384
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2362240
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
65385
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2169320
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
65386
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2362244
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
65387
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365866
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65388
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1656351
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65389
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873991
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
21
Qty Limit Days:
28
ID:
65390
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873993
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
42
Qty Limit Days:
28
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