Displaying 65721-65730 of 1611142 results.
ID:
65721
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
993466
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65722
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
993470
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65723
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
993462
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65724
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047868
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
65725
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
834350
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65726
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801299
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65727
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
832731
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65728
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801295
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65729
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123111
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
65730
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198071
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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