Displaying 65611-65620 of 1611142 results.
ID:
65611
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
242736
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65612
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
706546
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65613
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
311033
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
65614
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
311027
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
65615
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
213442
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
65616
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1860172
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
15
Qty Limit Days:
28
ID:
65617
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206092
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
65618
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2206099
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
65619
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2049380
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
65620
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986354
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
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