Displaying 68571-68580 of 1611142 results.
ID:
68571
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2054275
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
14
Qty Limit Days:
28
ID:
68572
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2275613
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
68573
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272118
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
68574
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272122
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
68575
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2272126
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
68576
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2394947
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
68577
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199304
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68578
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199308
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68579
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199312
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68580
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2199316
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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