Displaying 60561-60570 of 1611142 results.
ID:
60561
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373333
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60562
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373335
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60563
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1373337
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60564
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
312084
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60565
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
198051
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60566
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
312077
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
60567
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
313412
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60568
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
313413
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
60569
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
314286
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
60570
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
313776
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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