Displaying 68831-68840 of 1611142 results.
ID:
68831
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1874553
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
68832
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
900575
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68833
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
977427
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68834
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
977434
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68835
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
977438
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68836
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
892625
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
68837
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
311355
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68838
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
197893
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68839
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
313932
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
68840
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
309843
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
1200
Qty Limit Days:
30
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