Displaying 66161-66170 of 1611142 results.
ID:
66161
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
28
ID:
66162
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1552004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
66163
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723478
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66164
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430453
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66165
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430457
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66166
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100706
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66167
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1430449
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66168
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1592748
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66169
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1592752
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66170
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243033
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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