Displaying 65911-65920 of 1611142 results.
ID:
65911
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
886634
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
65912
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1437702
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
65913
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
211343
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65914
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
857002
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
65915
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
857005
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
65916
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
856999
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
65917
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001565
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65918
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001566
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
65919
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001568
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65920
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
993781
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
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