Displaying 62301-62310 of 1611142 results.
ID:
62301
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
859835
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62302
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
905273
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62303
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1099687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62304
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
312036
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62305
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
856940
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
2700
Qty Limit Days:
30
ID:
62306
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
834137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62307
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
62308
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
62309
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
809994
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
62310
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
809998
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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