Displaying 66921-66930 of 1611142 results.
ID:
66921
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607808
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66922
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
797641
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66923
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2360588
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66924
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
807225
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66925
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486496
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66926
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
763106
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66927
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1658241
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66928
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939299
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
66929
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1939348
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
66930
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
577324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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