Displaying 62471-62480 of 1611142 results.
ID:
62471
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1986819
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
62472
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2289424
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
300
Qty Limit Days:
30
ID:
62473
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2289428
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
62474
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1942485
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
62475
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1942489
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
62476
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2047639
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
62477
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
2053927
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
62478
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
62479
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1721583
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
62480
Formulary ID:
00021022
Formulary Version:
14
Contract Year:
2021
RXCUI:
1989109
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
28
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