Displaying 67241-67250 of 1611142 results.
ID:
67241
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1606337
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67242
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
313498
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67243
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
313499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67244
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
313496
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67245
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111110
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
10
ID:
67246
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2279847
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
10
ID:
67247
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1001690
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67248
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2465556
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67249
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
905394
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67250
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
404539
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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