Displaying 67071-67080 of 1611142 results.
ID:
67071
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
706829
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
67072
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
706825
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
67073
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
858074
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
67074
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
858051
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
67075
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
858057
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
0
Qty Limit Days:
28
ID:
67076
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
858055
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
67077
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
858053
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
67078
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2059017
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67079
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1232084
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67080
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1232088
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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