Displaying 66401-66410 of 1611142 results.
ID:
66401
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310288
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66402
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197985
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66403
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197984
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66404
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
598006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66405
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66406
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091155
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66407
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091170
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66408
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091185
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66409
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1091210
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66410
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
808751
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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