Displaying 61751-61760 of 1611142 results.
ID:
61751
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659183
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
61752
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1659161
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
61753
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2467571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
61754
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2467575
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
61755
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2472789
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61756
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2478450
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
61757
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
2369403
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
61758
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
1594673
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61759
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
905059
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
ID:
61760
Formulary ID:
00021021
Formulary Version:
14
Contract Year:
2021
RXCUI:
905064
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
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