Displaying 67911-67920 of 1611142 results.
ID:
67911
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
617768
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67912
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790892
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
67913
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790886
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
67914
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1790890
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
67915
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2384465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
67916
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1670324
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
28
ID:
67917
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1670322
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
100
Qty Limit Days:
28
ID:
67918
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
977923
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67919
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
977929
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
67920
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
977874
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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