Displaying 66761-66770 of 1611142 results.
ID:
66761
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
312079
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66762
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
208185
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66763
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
577127
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
66764
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
404013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66765
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
404011
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66766
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
597990
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66767
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
597984
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66768
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
597993
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66769
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
597967
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66770
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
597980
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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