Displaying 66351-66360 of 1611142 results.
ID:
66351
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1483329
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
66352
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1006122
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66353
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055676
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
66354
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055672
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
66355
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
314111
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66356
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
858798
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
66357
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197738
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66358
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
311725
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66359
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
311726
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66360
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
884386
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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