Displaying 68911-68920 of 1611142 results.
ID:
68911
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047614
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
68912
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047596
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
68913
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047623
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
68914
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2463737
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
68915
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2463733
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
68916
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
68917
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
68918
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
2058932
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
68919
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148506
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
68920
Formulary ID:
00021025
Formulary Version:
14
Contract Year:
2021
RXCUI:
1148502
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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