Displaying 67571-67580 of 1611142 results.
ID:
67571
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1607617
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
67572
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
311345
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67573
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198200
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67574
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
349514
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67575
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
351256
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67576
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
351257
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67577
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310261
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67578
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
308459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67579
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
141963
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67580
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198317
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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