Displaying 67321-67330 of 1611142 results.
ID:
67321
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
311277
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67322
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099563
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67323
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
904932
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
67324
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
313758
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67325
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
199655
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67326
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
349208
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67327
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
360110
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67328
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
799055
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67329
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
799056
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67330
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
799054
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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