Displaying 67361-67370 of 1611142 results.
ID:
67361
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649495
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67362
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67363
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2045638
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
67364
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2120195
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
67365
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123191
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
67366
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
727537
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67367
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648162
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67368
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1648160
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67369
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2048718
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
67370
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2048722
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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