Displaying 66781-66790 of 1611142 results.
ID:
66781
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
103968
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66782
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
252479
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66783
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010600
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66784
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1307056
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
66785
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1010604
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66786
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198182
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66787
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
351223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
66788
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198070
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66789
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
401938
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
66790
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
751566
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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