Displaying 67831-67840 of 1611142 results.
ID:
67831
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1040025
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
35
Qty Limit Days:
28
ID:
67832
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
212118
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67833
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
542370
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67834
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988768
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
67835
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921228
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
67836
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988772
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
67837
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988786
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
67838
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723763
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
67839
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723767
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
67840
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723772
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
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