Displaying 66561-66570 of 1611142 results.
ID:
66561
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310594
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66562
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
905379
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66563
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790533
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66564
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791560
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66565
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791569
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66566
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791576
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
66567
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1791582
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
66568
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812015
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66569
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
862006
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66570
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
862013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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