Displaying 66121-66130 of 1611142 results.
ID:
66121
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197502
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66122
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
863559
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66123
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1431286
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
66124
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
897612
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66125
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
897618
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66126
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
897624
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66127
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
897630
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66128
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
312025
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66129
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198041
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66130
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
582926
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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