Displaying 65921-65930 of 1611142 results.
ID:
65921
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049221
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
65922
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049225
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
65923
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049214
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
65924
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091497
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
65925
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091392
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
65926
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091145
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
65927
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091225
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
65928
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806181
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65929
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806197
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65930
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
897696
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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