Displaying 67121-67130 of 1611142 results.
ID:
67121
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2361296
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
67122
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2174390
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
67123
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1243052
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
67124
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606866
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
67125
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2257013
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
ID:
67126
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606870
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
67127
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053519
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
67128
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2166401
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
67129
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1999389
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
67130
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1812470
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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