Displaying 68611-68620 of 1611142 results.
ID:
68611
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799212
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
28
Qty Limit Days:
28
ID:
68612
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659183
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
68613
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659161
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
68614
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2467571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
68615
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2467575
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
68616
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2286261
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68617
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2472789
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68618
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2478450
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
68619
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
2369403
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
68620
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1594673
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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