Displaying 68411-68420 of 1611142 results.
ID:
68411
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
245723
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68412
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
830861
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68413
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
830845
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68414
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
830837
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68415
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
830801
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68416
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
352257
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
68417
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2393794
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
540
Qty Limit Days:
30
ID:
68418
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2121764
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
68419
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2173841
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
68420
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364477
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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