Displaying 65821-65830 of 1611142 results.
ID:
65821
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
856825
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65822
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
313354
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65823
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198274
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65824
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198275
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65825
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198270
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65826
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197960
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65827
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198285
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65828
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
856422
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65829
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
199903
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65830
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
998671
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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