Displaying 60031-60040 of 1611142 results.
ID:
60031
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
905041
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
60032
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
905092
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
60033
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
905100
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
60034
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1095712
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60035
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665515
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60036
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1719286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60037
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
313115
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60038
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
239240
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60039
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
809871
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
20
Qty Limit Days:
30
ID:
60040
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
864661
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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