Displaying 66581-66590 of 1611142 results.
ID:
66581
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
200193
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
66582
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
200194
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
30
ID:
66583
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
616539
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66584
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
616541
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66585
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
317094
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66586
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
349435
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66587
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
349434
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66588
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1013930
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66589
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310289
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66590
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
855858
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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