Displaying 67021-67030 of 1611142 results.
ID:
67021
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2391560
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67022
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1657212
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67023
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1735537
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67024
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
992403
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67025
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1735496
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67026
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1147228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
67027
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2197873
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
67028
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2197877
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
67029
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
205532
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67030
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1592285
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
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