Displaying 62321-62330 of 1611142 results.
ID:
62321
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
859824
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62322
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
309101
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62323
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
835840
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62324
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
835809
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
62325
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1649988
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62326
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
308189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62327
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
313797
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62328
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
239191
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62329
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62330
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1665444
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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