Displaying 66881-66890 of 1611142 results.
ID:
66881
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
483090
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66882
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
476399
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66883
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
476515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66884
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
805464
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
66885
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659927
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66886
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2056748
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
66887
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046585
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
66888
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
403878
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
66889
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1098143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66890
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2200174
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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