Displaying 68431-68440 of 1611142 results.
ID:
68431
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
199888
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68432
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
151226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68433
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
199889
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68434
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
311486
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68435
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
904396
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
68436
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
199672
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68437
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
252559
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68438
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
239238
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68439
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
602393
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68440
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
432402
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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