Displaying 66791-66800 of 1611142 results.
ID:
66791
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
751568
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66792
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
751570
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66793
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
897044
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66794
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
758032
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
66795
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
758027
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
66796
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650282
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66797
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
207836
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66798
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
796918
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66799
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649996
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
66800
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1650004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
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