Displaying 66221-66230 of 1611142 results.
ID:
66221
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191315
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66222
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
628953
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66223
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
381056
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66224
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
206842
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66225
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
562251
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66226
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
617995
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66227
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66228
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
359296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66229
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
308212
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66230
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
403810
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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