Displaying 65411-65420 of 1611142 results.
ID:
65411
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
285018
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
65412
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
855178
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65413
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
866094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65414
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
866083
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65415
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
211817
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65416
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801283
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65417
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
857461
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65418
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
978006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65419
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
834022
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
65420
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
833217
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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