Displaying 68451-68460 of 1611142 results.
ID:
68451
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
198008
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68452
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
200311
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68453
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
310431
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
360
Qty Limit Days:
30
ID:
68454
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
728113
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
48
Qty Limit Days:
180
ID:
68455
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
483442
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
68456
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
483448
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
68457
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
483446
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
68458
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
312515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68459
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795598
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68460
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1366192
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
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