Displaying 67271-67280 of 1611142 results.
ID:
67271
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870950
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67272
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870956
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
67273
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870952
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67274
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870960
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67275
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1870968
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
91
Qty Limit Days:
28
ID:
67276
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1304985
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
67277
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1811182
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
67278
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67279
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
852920
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67280
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
313096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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