Displaying 67031-67040 of 1611142 results.
ID:
67031
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1868016
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
270
Qty Limit Days:
30
ID:
67032
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1868020
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
67033
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1727485
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
67034
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1441530
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67035
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1242998
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
67036
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2106075
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67037
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2390946
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67038
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058950
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67039
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058946
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67040
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722376
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
63
Qty Limit Days:
28
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