Displaying 68631-68640 of 1611142 results.
ID:
68631
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
207373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68632
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1245268
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
112
Qty Limit Days:
28
ID:
68633
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
314088
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68634
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
403914
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68635
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
885209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68636
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1922765
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68637
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1922763
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68638
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
105553
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68639
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
105590
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68640
Formulary ID:
00021024
Formulary Version:
14
Contract Year:
2021
RXCUI:
1364498
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
45
Qty Limit Days:
30
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