Displaying 66491-66500 of 1611142 results.
ID:
66491
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
312075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66492
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
308345
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66493
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197636
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66494
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
260243
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66495
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
312641
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66496
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1312625
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66497
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365660
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66498
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365847
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66499
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1365850
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66500
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1928954
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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