Displaying 67381-67390 of 1611142 results.
ID:
67381
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310436
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67382
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310437
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67383
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
579148
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67384
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
104894
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67385
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
861132
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
67386
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310352
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67387
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67388
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
200257
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
67389
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
200256
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
67390
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
200258
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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