Displaying 66841-66850 of 1611142 results.
ID:
66841
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
797274
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66842
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310982
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
24
Qty Limit Days:
30
ID:
66843
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
30
ID:
66844
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
309290
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
66845
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66846
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
313852
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66847
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
66848
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66849
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197574
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
66850
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197575
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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