Displaying 68621-68630 of 1611142 results.
ID:
68621
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
905059
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
68622
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
905064
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
68623
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
905057
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
168
ID:
68624
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1251334
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68625
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1100070
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
68626
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1487076
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
224
Qty Limit Days:
28
ID:
68627
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1368459
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68628
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
751970
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68629
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
836358
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
312
Qty Limit Days:
30
ID:
68630
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191250
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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