Displaying 67411-67420 of 1611142 results.
ID:
67411
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
999991
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67412
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
984082
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67413
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1551923
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
67414
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1601373
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
67415
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1654079
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67416
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
853354
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67417
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
853356
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67418
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
848164
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67419
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1653144
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67420
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1482814
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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