Displaying 61361-61370 of 1611142 results.
ID:
61361
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490026
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
61362
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490034
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
61363
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1490038
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
61364
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
313580
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61365
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2257015
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
61366
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044720
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
61367
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044726
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
61368
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2044732
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
61369
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046376
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61370
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2046380
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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