Displaying 61911-61920 of 1611142 results.
ID:
61911
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
904170
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61912
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
854859
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61913
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1859000
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
61914
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1604544
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
28
ID:
61915
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2002420
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
61916
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923338
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61917
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1923347
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61918
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1876406
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61919
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2375329
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61920
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099302
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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