Displaying 62441-62450 of 1611142 results.
ID:
62441
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
993466
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62442
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
993470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62443
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
993462
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62444
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047868
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
62445
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
834350
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62446
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801299
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62447
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
832731
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62448
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1801295
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
62449
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2123111
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
62450
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
198071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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