Displaying 61931-61940 of 1611142 results.
ID:
61931
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
208513
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61932
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
404550
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61933
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
150840
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61934
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
208949
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61935
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
202301
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61936
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000491
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61937
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000497
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61938
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000499
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61939
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000500
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
61940
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1000487
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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