Displaying 67621-67630 of 1611142 results.
ID:
67621
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
857700
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
67622
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67623
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111339
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67624
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
860805
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67625
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
308739
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
67626
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1111343
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67627
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
284008
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
25
ID:
67628
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
313919
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
67629
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797865
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
34
Qty Limit Days:
28
ID:
67630
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1797867
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
25
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