Displaying 66731-66740 of 1611142 results.
ID:
66731
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198332
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66732
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
856987
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
66733
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
856992
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
66734
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197702
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66735
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1049615
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
66736
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736047
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
66737
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736050
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
66738
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736053
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
66739
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1736044
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66740
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
312845
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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