Displaying 68511-68520 of 1611142 results.
ID:
68511
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054269
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68512
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2362178
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
68513
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2362182
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
68514
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
432400
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
68515
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
68516
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1944382
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
68517
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1944376
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
68518
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921081
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
30
ID:
68519
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1866047
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68520
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099026
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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