Displaying 66641-66650 of 1611142 results.
ID:
66641
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
485436
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66642
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
859424
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66643
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
859747
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66644
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
859751
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66645
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
859419
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66646
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
199192
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66647
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
199193
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66648
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198382
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66649
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
997226
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66650
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
997220
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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