Displaying 66321-66330 of 1611142 results.
ID:
66321
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719862
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66322
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719803
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66323
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
866103
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66324
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
672567
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66325
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
672569
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66326
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
672571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66327
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
795918
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66328
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
993541
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66329
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
993557
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66330
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
996097
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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