Displaying 59961-59970 of 1611142 results.
ID:
59961
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
310289
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59962
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
855858
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
59963
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
313306
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59964
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
348472
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59965
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
282401
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59966
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
198427
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59967
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
198428
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59968
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
198429
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59969
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
152695
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
59970
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
854905
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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