Displaying 66241-66250 of 1611142 results.
ID:
66241
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1654630
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66242
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2000007
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
66243
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
309339
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66244
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
309335
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66245
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
309336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66246
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
308207
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66247
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721475
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66248
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
789980
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66249
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
828755
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66250
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
828539
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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