Displaying 68421-68430 of 1611142 results.
ID:
68421
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602028
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
68422
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602034
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
68423
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602040
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
68424
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1602046
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
68425
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265729
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
68426
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265732
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
68427
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2265735
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
68428
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809643
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68429
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1809499
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68430
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1495070
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
84
Qty Limit Days:
28
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