Displaying 66821-66830 of 1611142 results.
ID:
66821
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66822
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
141859
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
4
ID:
66823
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
66824
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66825
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244634
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66826
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085633
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66827
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085636
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66828
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197735
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
66829
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
543546
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66830
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085644
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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