Displaying 61041-61050 of 1611142 results.
ID:
61041
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
825334
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61042
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
212118
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61043
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
542370
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61044
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988768
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
61045
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921228
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
61046
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988772
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
61047
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988786
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61048
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723763
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
61049
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723767
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
61050
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1723772
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
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