Displaying 66171-66180 of 1611142 results.
ID:
66171
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243040
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66172
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243026
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66173
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545664
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66174
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1545668
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66175
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1651275
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
66176
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664321
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66177
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1667882
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
66178
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665369
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66179
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664328
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66180
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664325
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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