Displaying 66381-66390 of 1611142 results.
ID:
66381
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
402698
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66382
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
402696
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66383
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
402695
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66384
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
351249
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66385
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
858625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66386
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
855182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66387
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
855189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66388
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66389
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66390
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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