Displaying 67761-67770 of 1611142 results.
ID:
67761
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
866479
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67762
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
349401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67763
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
349405
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67764
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
205322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67765
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
205323
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67766
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
403853
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67767
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
403854
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67768
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
403855
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67769
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
859981
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67770
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
859975
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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