Displaying 68031-68040 of 1611142 results.
ID:
68031
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
854984
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68032
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
854988
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68033
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
854925
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68034
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
857166
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68035
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
857174
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68036
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
904431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
68037
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
312087
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68038
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68039
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198335
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68040
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
433798
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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