Displaying 61071-61080 of 1611142 results.
ID:
61071
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
312069
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61072
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
312070
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61073
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1117522
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61074
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1664981
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61075
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
859871
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61076
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
204416
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61077
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1722934
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61078
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1807632
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61079
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795609
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61080
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1795477
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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