Displaying 66721-66730 of 1611142 results.
ID:
66721
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
848730
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66722
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
848734
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66723
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
848752
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66724
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1491624
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66725
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2468316
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
66726
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2381144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66727
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
465355
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66728
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
979099
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66729
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
967023
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66730
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
967012
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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