Displaying 66971-66980 of 1611142 results.
ID:
66971
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
860221
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66972
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198056
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66973
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
351276
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66974
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
728207
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66975
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
349194
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
66976
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
66977
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
349198
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
66978
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
66979
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
312439
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
66980
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198103
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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