Displaying 66131-66140 of 1611142 results.
ID:
66131
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597123
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
66132
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1597129
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
66133
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
238134
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
66134
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1745091
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
66135
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801289
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66136
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
994237
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
66137
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
857564
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66138
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
311892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66139
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
311893
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66140
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
199521
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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