Displaying 65651-65660 of 1611142 results.
ID:
65651
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
896027
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
65652
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
896023
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
65653
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
213484
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65654
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
759473
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
180
ID:
65655
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
896185
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
65656
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
896212
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
65657
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
896229
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
65658
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
896237
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
65659
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
896245
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
ID:
65660
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
896273
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
30
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