Displaying 66671-66680 of 1611142 results.
ID:
66671
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66672
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66673
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66674
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310291
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66675
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
809871
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
66676
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
864661
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66677
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2001424
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66678
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1363408
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
66679
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1363410
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
66680
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364581
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
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