Displaying 67261-67270 of 1611142 results.
ID:
67261
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67262
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310152
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
67263
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1370763
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
118
Qty Limit Days:
30
ID:
67264
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2180999
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67265
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1716268
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67266
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921598
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67267
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1806890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67268
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2184126
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
67269
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
828348
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67270
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1369831
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
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