Displaying 66251-66260 of 1611142 results.
ID:
66251
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
545835
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66252
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
645884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66253
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
757968
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66254
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
754508
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
66255
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197411
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66256
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310600
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66257
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
403850
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66258
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
810090
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66259
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
403851
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66260
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
810083
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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