Displaying 60221-60230 of 1611142 results.
ID:
60221
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1308569
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
60222
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
351209
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60223
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
197623
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60224
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055650
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
60225
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099808
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60226
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1484296
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60227
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1190919
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60228
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1244205
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60229
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
830470
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60230
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1300310
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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