Displaying 67561-67570 of 1611142 results.
ID:
67561
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197782
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67562
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
197783
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67563
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
313142
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67564
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
312347
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67565
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198108
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67566
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1048450
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67567
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1020065
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
67568
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1048445
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67569
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
855626
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67570
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
855194
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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