Displaying 65631-65640 of 1611142 results.
ID:
65631
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200658
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65632
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200650
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65633
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653204
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
28
ID:
65634
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
351926
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
28
ID:
65635
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
849851
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65636
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
847247
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65637
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
847348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65638
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
847245
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65639
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197590
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
65640
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197591
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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