Displaying 65961-65970 of 1611142 results.
ID:
65961
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
727575
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65962
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65963
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040016
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65964
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653470
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
65965
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086776
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65966
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086780
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65967
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1086786
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65968
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307415
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65969
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307421
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
65970
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1869699
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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