Displaying 66911-66920 of 1611142 results.
ID:
66911
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055650
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
66912
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099808
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66913
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1484296
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66914
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190919
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66915
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244205
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66916
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
830470
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66917
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300310
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66918
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300206
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66919
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66920
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300468
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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