Displaying 65621-65630 of 1611142 results.
ID:
65621
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986356
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
65622
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2205454
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
65623
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653198
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
65624
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
977842
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
65625
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
977840
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
65626
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
897126
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
65627
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2398842
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
65628
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991311
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
65629
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1991317
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
65630
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200654
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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